Taber, Jesse E.
Taber, Jesse E. is an individual health care provider with primary practice located at 360 Station Dr Ste 300 , Crystal Lake IL 60014-8003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Taber, Jesse E. can be contacted via phone (815) 455-1800.Contact Information
Primary practice address
360 Station Dr Ste 300
Crystal Lake IL 60014-8003
Phone: (815) 455-1800
Fax: (815) 455-1875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 036075056 | Illinois |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036075056 | Illinois |
Profile Details
| NPI number | 1932268570 |
|---|---|
| LBN Legal business name | Taber, Jesse E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Apr 20th, 2020 - about 6 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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