Chiang, Paul P
Chiang, Paul P is an individual health care provider with primary practice located at 1800 N Main St Second Floor, Wheaton IL 60187-3112. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Chiang, Paul P can be contacted via phone (630) 614-4960.Contact Information
Primary practice address
1800 N Main St Second Floor
Wheaton IL 60187-3112
Phone: (630) 614-4960
Fax: (630) 682-3727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036091803 | Illinois |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 036091803 | Illinois |
Profile Details
| NPI number | 1902831696 |
|---|---|
| LBN Legal business name | Chiang, Paul P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Feb 27th, 2014 - about 12 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 | 1902831696 | NPPES |
| Illinois | Other | 363149833 | TAX IDENTIFICATION NUMBER |
| Illinois | Other | 3631498336019001 | TAX IDENTIFICATION NUMBER |
| Illinois | Other | 0222075 | TAX IDENTIFICATION NUMBER |
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