Dantzer, Michael R

Dantzer, Michael R is an individual health care provider with primary practice located at 1500 Sycamore Rd Suite 1000, Yorkville IL 60560-1906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dantzer, Michael R can be contacted via phone (630) 553-4470.

Contact Information

Primary practice address
1500 Sycamore Rd Suite 1000 Yorkville IL 60560-1906
Phone: (630) 553-4470
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-082790 Illinois

Profile Details

NPI number 1124044474
LBN Legal business name Dantzer, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Nov 22nd, 2021 - about 4 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 1124044474 NPPES
Illinois MEDICAID 036082790

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