Maddalozzo, John
Maddalozzo, John is an individual health care provider with primary practice located at 225 E. Chicago Ave., #25 Ann & Robert H. Lurie Children'S Hospital Of Chicago, Chicago IL 60611-2605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as his primary health care specialty. Maddalozzo, John can be contacted via phone (312) 227-6230.Contact Information
Primary practice address
225 E. Chicago Ave., #25 Ann & Robert H. Lurie Children'S Hospital Of Chicago
Chicago IL 60611-2605
Phone: (312) 227-6230
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | 036-065457 | Illinois |
Profile Details
| NPI number | 1609862267 |
|---|---|
| LBN Legal business name | Maddalozzo, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Apr 17th, 2013 - about 13 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 | 1609862267 | NPPES |
| Illinois | Other | 1627123 | BCBS PROVIDER ID |
| Illinois | MEDICAID | 2386216 | BCBS PROVIDER ID |
| Illinois | MEDICAID | 036065457 | BCBS PROVIDER ID |
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