Childs, Donald S

Childs, Donald S is an individual health care provider with primary practice located at 610 S Maple Ave Suite 2500, Oak Park IL 60304-1091. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Childs, Donald S can be contacted via phone (708) 660-2900.

Contact Information

Primary practice address
610 S Maple Ave Suite 2500 Oak Park IL 60304-1091
Phone: (708) 660-2900
Fax: (708) 660-2901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036081440 Illinois

Profile Details

NPI number 1750361333
LBN Legal business name Childs, Donald S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Aug 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750361333 NPPES
Illinois Other 01615849 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036081440 BLUE CROSS BLUE SHIELD

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