Gabriel, Dante Polintan
Gabriel, Dante Polintan is an individual health care provider with primary practice located at 15 Tower Ct Suite 150, Gurnee IL 60031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gabriel, Dante Polintan can be contacted via phone (847) 623-4464.Contact Information
Primary practice address
15 Tower Ct Suite 150
Gurnee IL 60031
Phone: (847) 623-4464
Fax: (847) 623-9984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036046907 | Illinois |
Profile Details
| NPI number | 1437247673 |
|---|---|
| LBN Legal business name | Gabriel, Dante Polintan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Oct 14th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437247673 | NPPES |
| Illinois | MEDICAID | 036046907 |
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