Udoisa, Evaristus
Udoisa, Evaristus is an individual health care provider with primary practice located at 326 W 64Th St , Chicago IL 60621-3114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Udoisa, Evaristus can be contacted via phone (773) 651-6977.Contact Information
Primary practice address
326 W 64Th St
Chicago IL 60621-3114
Phone: (773) 651-6977
Fax: (773) 651-3978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | Illinois |
Profile Details
| NPI number | 1861433260 |
|---|---|
| LBN Legal business name | Udoisa, Evaristus |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1861433260 | NPPES |
| Illinois | MEDICAID | 0360658588 |
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