Axelrod, Joseph R

Axelrod, Joseph R is an individual health care provider with primary practice located at 4225 W 95Th St , Oak Lawn IL 60453-2623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Axelrod, Joseph R can be contacted via phone (708) 423-2300.

Contact Information

Primary practice address
4225 W 95Th St Oak Lawn IL 60453-2623
Phone: (708) 423-2300
Fax: (708) 423-2318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036099776 Illinois

Profile Details

NPI number 1548342199
LBN Legal business name Axelrod, Joseph R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Dec 18th, 2018 - about 7 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 1548342199 NPPES
Illinois MEDICAID 036099776
Illinois Other 0479220001

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