Seckler, Jerrold Howard

Seckler, Jerrold Howard is an individual health care provider with primary practice located at 880 W. Central Road Suite 5200, Arlington Heights IL 60005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Seckler, Jerrold Howard can be contacted via phone (847) 259-2410.

Contact Information

Primary practice address
880 W. Central Road Suite 5200 Arlington Heights IL 60005
Phone: (847) 259-2410
Fax: (847) 259-8603
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036047545 Illinois

Profile Details

NPI number 1982676342
LBN Legal business name Seckler, Jerrold Howard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Aug 26th, 2010 - about 16 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 1982676342 NPPES
Illinois Other 1615843 BCBS
Illinois MEDICAID C42156 BCBS

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