Ramza, Justin Todd

Ramza, Justin Todd is an sole proprietor health care provider with primary practice located at 2028 E Riverside Blvd , Loves Park IL 61111-4804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Ramza, Justin Todd can be contacted via phone (815) 282-5300.

Contact Information

Primary practice address
2028 E Riverside Blvd Loves Park IL 61111-4804
Phone: (815) 282-5300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X Illinois

Profile Details

NPI number 1184775264
LBN Legal business name Ramza, Justin Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2007
Last updated Oct 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184775264 NPPES
Illinois Other 210693 MEDICARE GROUP NUMBER

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