Warren, Mitchell L

Warren, Mitchell L is an individual health care provider with primary practice located at 740 Waukegan Rd Suite 360, Deerfield IL 60015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Warren, Mitchell L can be contacted via phone (847) 945-6770.

Contact Information

Primary practice address
740 Waukegan Rd Suite 360 Deerfield IL 60015
Phone: (847) 945-6770
Fax: (847) 945-3159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036093327 Illinois
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036-093327 Illinois

Profile Details

NPI number 1376543041
LBN Legal business name Warren, Mitchell L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Sep 4th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376543041 NPPES
Other 180039248 RAILROAD MEDICARE
MEDICAID 036093327 RAILROAD MEDICARE

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