Ertle, James Owen

Ertle, James Owen is an individual health care provider with primary practice located at 333 Chestnut St Suite 202, Hinsdale IL 60521-3247. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Ertle, James Owen can be contacted via phone (630) 325-6880.

Contact Information

Primary practice address
333 Chestnut St Suite 202 Hinsdale IL 60521-3247
Phone: (630) 325-6880
Fax: (630) 325-5975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036043180 Illinois

Profile Details

NPI number 1992762173
LBN Legal business name Ertle, James Owen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2006
Last updated Jun 29th, 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 1992762173 NPPES
Illinois Other 1992762173 NPI
Illinois MEDICAID 036043180 NPI
Illinois Other 313480 NPI
Illinois Other 0002215658 NPI

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