Birt, Maurice W

Birt, Maurice W is an individual health care provider with primary practice located at 25 Winfield Road , Winfield IL 60190-1295. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Birt, Maurice W can be contacted via phone (630) 260-0600.

Contact Information

Primary practice address
25 Winfield Road Winfield IL 60190-1295
Fax: (630) 260-1370
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036078879 Illinois

Profile Details

NPI number 1780614503
LBN Legal business name Birt, Maurice W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Apr 2nd, 2013 - about 13 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 1780614503 NPPES
Illinois Other 3631498336019001 CDPG HFS PAYEE ID
Illinois MEDICAID 036078879 CDPG HFS PAYEE ID
Illinois Other 363149833 CDPG HFS PAYEE ID
Illinois Other 0222075 CDPG HFS PAYEE ID

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