Pitlosh, Max John

Pitlosh, Max John is an individual health care provider with primary practice located at 2835 N Sheffield Ave Suite 104, Chicago IL 60657-5081. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pitlosh, Max John can be contacted via phone (773) 472-3704.

Contact Information

Primary practice address
2835 N Sheffield Ave Suite 104 Chicago IL 60657-5081
Phone: (773) 472-3704
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036107071 Illinois

Profile Details

NPI number 1760454904
LBN Legal business name Pitlosh, Max John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Sep 21st, 2011 - about 14 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 1760454904 NPPES
Illinois MEDICAID 036107071

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