Cespedes, David B
Cespedes, David B is an individual health care provider with primary practice located at 130 S Main St Ste 201 , Lombard IL 60148-2670. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cespedes, David B can be contacted via phone (331) 221-9001.Contact Information
Primary practice address
130 S Main St Ste 201
Lombard IL 60148-2670
Phone: (331) 221-9001
Fax: (331) 221-3957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036103834 | Illinois |
Profile Details
| NPI number | 1699775650 |
|---|---|
| LBN Legal business name | Cespedes, David B |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | May 4th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699775650 | NPPES |
| Illinois | Other | 036103834 | IL STATE LICENSE |
| Illinois | Other | 4515545 | IL STATE LICENSE |
| Illinois | MEDICAID | 362742950-60123-01 | IL STATE LICENSE |
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