Iwata, Jan Lei
Iwata, Jan Lei is an sole proprietor health care provider with primary practice located at 1 E Superior St 307, Chicago IL 60611-2507. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is her primary health care specialty. Iwata, Jan Lei can be contacted via phone (773) 501-7394.Contact Information
Primary practice address
1 E Superior St 307
Chicago IL 60611-2507
Phone: (773) 501-7394
Fax: (773) 296-7787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 7541 | California |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 7541 | California |
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | 7541 | California |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036-105234 | Illinois |
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 036-105234 | Illinois |
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | 036-105234 | Illinois |
Profile Details
| NPI number | 1922177351 |
|---|---|
| LBN Legal business name | Iwata, Jan Lei |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Jan 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922177351 | NPPES |
| Illinois | Other | 01632904 | BLUE CROSS BLUE SHIELD |
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