Pilditch, Matthew E

Pilditch, Matthew E is an individual health care provider with primary practice located at 3080 Ogden Ave Ste 204 , Lisle IL 60532-1694. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pilditch, Matthew E can be contacted via phone (630) 734-0580.

Contact Information

Primary practice address
3080 Ogden Ave Ste 204 Lisle IL 60532-1694
Fax: (630) 734-0581
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036095425 Illinois

Profile Details

NPI number 1639158728
LBN Legal business name Pilditch, Matthew E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Mar 1st, 2021 - about 5 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 1639158728 NPPES
Illinois Other 01615849 BCBS
Illinois MEDICAID 036095425 BCBS

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