Mcfadden, David L

Mcfadden, David L is an sole proprietor health care provider with primary practice located at 330 Madison St Ste 303 , Joliet IL 60435-6576. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mcfadden, David L can be contacted via phone (815) 744-1770.

Contact Information

Primary practice address
330 Madison St Ste 303 Joliet IL 60435-6576
Phone: (815) 744-1770
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 042008047 Illinois

Profile Details

NPI number 1033270533
LBN Legal business name Mcfadden, David L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated May 18th, 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 1033270533 NPPES
Illinois Other 9908151 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036087527 BLUE CROSS BLUE SHIELD
Illinois Other 390004585 BLUE CROSS BLUE SHIELD

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