Wener, Jeffrey L

Wener, Jeffrey L is an individual health care provider with primary practice located at 1786 Moon Lake Blvd Suite 207, Hoffman Estates IL 60169-5029. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wener, Jeffrey L can be contacted via phone (847) 884-1800.

Contact Information

Primary practice address
1786 Moon Lake Blvd Suite 207 Hoffman Estates IL 60169-5029
Phone: (847) 884-1800
Fax: (847) 884-6768
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036055180 Illinois

Profile Details

NPI number 1174520555
LBN Legal business name Wener, Jeffrey L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jun 4th, 2010 - about 14 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 1174520555 NPPES
Illinois MEDICAID 036055180

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