David, Sean P.

David, Sean P. is an individual health care provider with primary practice located at 9977 Woods Dr Fl 1 , Skokie IL 60077-1057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. David, Sean P. can be contacted via phone (224) 364-2273.

Contact Information

Primary practice address
9977 Woods Dr Fl 1 Skokie IL 60077-1057
Phone: (224) 364-2273
Fax: (847) 663-8290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036.148964 Illinois

Profile Details

NPI number 1942283825
LBN Legal business name David, Sean P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Oct 12th, 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 1942283825 NPPES
Rhode Island MEDICAID 9021063

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