Jundi, Iyad A

Jundi, Iyad A is an individual health care provider with primary practice located at 101 E Miller Rd , Sterling IL 61081-1252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jundi, Iyad A can be contacted via phone (815) 625-4790.

Contact Information

Primary practice address
101 E Miller Rd Sterling IL 61081-1252
Phone: (815) 625-4790
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036090002 Illinois

Profile Details

NPI number 1518055144
LBN Legal business name Jundi, Iyad A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jul 7th, 2021 - about 5 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 1518055144 NPPES
Illinois MEDICAID 036090002
Illinois Other 019845
Illinois Other 9815737
Illinois Other 020029131

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