Pourtabib, Michael
Pourtabib, Michael is an sole proprietor health care provider with primary practice located at 100 Spalding Dr Suite 102, Naperville IL 60540-6550. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Pourtabib, Michael can be contacted via phone (630) 355-5860.Contact Information
Primary practice address
100 Spalding Dr Suite 102
Naperville IL 60540-6550
Phone: (630) 355-5860
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | Illinois |
Profile Details
| NPI number | 1508870379 |
|---|---|
| LBN Legal business name | Pourtabib, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1508870379 | NPPES |
| Illinois | Other | 2215455 | BLUE CROSS |
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