Mochizuki, Ronald

Mochizuki, Ronald is an sole proprietor health care provider with primary practice located at 12251 S 80Th Ave , Palos Heights IL 60463-1256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mochizuki, Ronald can be contacted via phone (708) 923-5055.

Contact Information

Primary practice address
12251 S 80Th Ave Palos Heights IL 60463-1256
Phone: (708) 923-5055
Fax: (708) 923-5058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036078225 Illinois

Profile Details

NPI number 1083602270
LBN Legal business name Mochizuki, Ronald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2005
Last updated Aug 26th, 2009 - 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 1083602270 NPPES
Illinois MEDICAID 036078225
Illinois Other 01620954
Illinois Other 250008036

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