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
Fax: (331) 221-3957
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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