Lindell, John R
Lindell, John R is an individual health care provider with primary practice located at 19 Olt Ave , Pekin IL 61554-6216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lindell, John R can be contacted via phone (309) 353-6301.Contact Information
Primary practice address
19 Olt Ave
Pekin IL 61554-6216
Phone: (309) 353-6301
Fax: (309) 353-1555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036075387 | Illinois |
Profile Details
| NPI number | 1548212517 |
|---|---|
| LBN Legal business name | Lindell, John R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Mar 24th, 2008 - about 18 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 | 1548212517 | NPPES |
| Illinois | Other | 110154966 | RAIL ROAD MEDICARE |
| Illinois | Other | 09015685 | RAIL ROAD MEDICARE |
| Illinois | MEDICAID | 036075387 | RAIL ROAD MEDICARE |
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