De Alba, Felipe

De Alba, Felipe is an individual health care provider with primary practice located at 2160 S First Ave Luh-No. Ent., Rm. 2601, Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. De Alba, Felipe can be contacted via phone (708) 216-3408.

Contact Information

Primary practice address
2160 S First Ave Luh-No. Ent., Rm. 2601 Maywood IL 60153
Fax: (708) 216-3557
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 36098219 Illinois

Profile Details

NPI number 1558335687
LBN Legal business name De Alba, Felipe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Sep 2nd, 2009 - about 17 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 1558335687 NPPES
Illinois MEDICAID 36098219

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