Deguzman, Pedro Bantug

Deguzman, Pedro Bantug is an individual health care provider with primary practice located at 9951 Rock Cut Xing , Loves Park IL 61111-1999. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Deguzman, Pedro Bantug can be contacted via phone (815) 639-8500.

Contact Information

Primary practice address
9951 Rock Cut Xing Loves Park IL 61111-1999
Phone: (815) 639-8500
Fax: (815) 639-8501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036093831 Illinois

Profile Details

NPI number 1902834229
LBN Legal business name Deguzman, Pedro Bantug
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Mar 17th, 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 1902834229 NPPES
Illinois MEDICAID 036093831
Illinois Other 553180
Illinois Other 553180

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