Flores, David J

Flores, David J is an individual health care provider with primary practice located at 3348 W 87Th St , Chicago IL 60652-3767. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Flores, David J can be contacted via phone (773) 776-4471.

Contact Information

Primary practice address
3348 W 87Th St Chicago IL 60652-3767
Fax: (773) 564-3510
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01060028A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036113814 Illinois

Profile Details

NPI number 1407849078
LBN Legal business name Flores, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Dec 13th, 2016 - 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 1407849078 NPPES
Illinois Other 0090000854 BCBS GROUP NUMBER
Illinois MEDICAID 200522980 BCBS GROUP NUMBER

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