Ronin, David

Ronin, David is an individual health care provider with primary practice located at 1775 Ballard Rd , Park Ridge IL 60068-1005. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ronin, David can be contacted via phone (847) 318-2500.

Contact Information

Primary practice address
1775 Ballard Rd Park Ridge IL 60068-1005
Phone: (847) 318-2500
Fax: (847) 318-2558
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036078858 Illinois

Profile Details

NPI number 1588640924
LBN Legal business name Ronin, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Dec 16th, 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 1588640924 NPPES
Illinois Other 06168781 BC/BS
Illinois Other P00213724 BC/BS
Illinois MEDICAID 0360788582 BC/BS

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