Stake, Jonathan

Stake, Jonathan is an individual health care provider with primary practice located at 2923 N California Ave Ste 220, Chicago IL 60618-7702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Stake, Jonathan can be contacted via phone (888) 220-6432.

Contact Information

Primary practice address
2923 N California Ave Ste 220 Chicago IL 60618-7702
Phone: (888) 220-6432
Fax: (773) 205-7654
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036-088654 Illinois

Profile Details

NPI number 1982690251
LBN Legal business name Stake, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Dec 17th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982690251 NPPES
Illinois MEDICAID 036-088-654

Popular Providers