Golon, Jeremy Daniel
Golon, Jeremy Daniel is an individual health care provider with primary practice located at 1725 W Harrison St Ste 970 , Chicago IL 60612-3828. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Golon, Jeremy Daniel can be contacted via phone (414) 630-7410.Contact Information
Primary practice address
1725 W Harrison St Ste 970
Chicago IL 60612-3828
Phone: (414) 630-7410
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | Illinois | |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | Wisconsin | |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | Wisconsin |
Profile Details
| NPI number | 1437865680 |
|---|---|
| LBN Legal business name | Golon, Jeremy Daniel |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2023 |
| Last updated | Jan 30th, 2023 - about 3 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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