Lundquist, Cole David

Lundquist, Cole David is an individual health care provider with primary practice located at 1875 W Dempster St Ste 660, Park Ridge IL 60068-1186. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Lundquist, Cole David can be contacted via phone (847) 698-1210.

Contact Information

Primary practice address
1875 W Dempster St Ste 660 Park Ridge IL 60068-1186
Phone: (847) 698-1210
Fax: (847) 698-0475
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036056878 Illinois

Profile Details

NPI number 1982688891
LBN Legal business name Lundquist, Cole David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Nov 11th, 2008 - about 17 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 1982688891 NPPES
Illinois MEDICAID 036056878

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