Deyrmenjian, Hosep H

Deyrmenjian, Hosep H is an individual health care provider with primary practice located at 1445 Hunt Club Rd Ste 303, Gurnee IL 60031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Deyrmenjian, Hosep H can be contacted via phone (847) 855-3150.

Contact Information

Primary practice address
1445 Hunt Club Rd Ste 303 Gurnee IL 60031
Fax: (847) 855-6006
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036079535 Illinois

Profile Details

NPI number 1710979729
LBN Legal business name Deyrmenjian, Hosep H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jun 19th, 2019 - about 6 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 1710979729 NPPES
Illinois MEDICAID 036079535

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