Eberhart, Lori Lee

Eberhart, Lori Lee is an individual health care provider with primary practice located at 1230 George E. Chance Parkway , Caseyville IL 62232. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Eberhart, Lori Lee can be contacted via phone (618) 345-5437.

Contact Information

Primary practice address
1230 George E. Chance Parkway Caseyville IL 62232
Phone: (618) 345-5437
Fax: (618) 344-9246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036115360 Illinois

Profile Details

NPI number 1699884825
LBN Legal business name Eberhart, Lori Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Dec 5th, 2012 - about 14 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 1699884825 NPPES
Illinois MEDICAID 036115360

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