Betancourt, Joanna E

Betancourt, Joanna E is an individual health care provider with primary practice located at 600 S Randall Rd Suite 220, Algonquin IL 60102-5935. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Betancourt, Joanna E can be contacted via phone (847) 854-9402.

Contact Information

Primary practice address
600 S Randall Rd Suite 220 Algonquin IL 60102-5935
Phone: (847) 854-9402
Fax: (847) 854-9403
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036101829 Illinois

Profile Details

NPI number 1992703227
LBN Legal business name Betancourt, Joanna E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Apr 6th, 2011 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992703227 NPPES
Illinois MEDICAID 036101829
Illinois Other 05632081
Illinois Other 07100058

Popular Providers