Ripley, David L
Ripley, David L is an individual health care provider with primary practice located at 355 E Erie St , Chicago IL 60611-3167. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Brain Injury Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Brain Injury Medicine is his primary health care specialty. Ripley, David L can be contacted via phone (312) 238-1000.Contact Information
Primary practice address
355 E Erie St
Chicago IL 60611-3167
Phone: (312) 238-1000
Fax: (312) 238-8405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Brain Injury Medicine | 2081P0301X | 036-130612 | Illinois |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 036-130612 | Illinois |
Profile Details
| NPI number | 1841278843 |
|---|---|
| LBN Legal business name | Ripley, David L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1841278843 | NPPES |
| Illinois | MEDICAID | 036130612-1 | |
| Illinois | MEDICAID | 036-130612-2 | |
| Illinois | Other | P01124560 |
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