Federbusch, John Paul

Federbusch, John Paul is an individual health care provider with primary practice located at 2333 W Irving Park Rd , Chicago IL 60618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Phlebology, which is considered as his primary health care specialty. Federbusch, John Paul can be contacted via phone (773) 506-7340.

Contact Information

Primary practice address
2333 W Irving Park Rd Chicago IL 60618
Phone: (773) 506-7340
Fax: (773) 506-7341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Phlebology 202K00000X 036056863 Illinois

Profile Details

NPI number 1235261264
LBN Legal business name Federbusch, John Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Jul 29th, 2014 - about 12 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 1235261264 NPPES
Illinois MEDICAID 036056863
Illinois Other 787360
Illinois Other 208486
Illinois Other 02215674

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