Venetos, John

Venetos, John is an sole proprietor health care provider with primary practice located at 2740 W Foster Ave Ste 116 , Chicago IL 60625-3524. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Venetos, John can be contacted via phone (773) 989-6262.

Contact Information

Primary practice address
2740 W Foster Ave Ste 116 Chicago IL 60625-3524
Phone: (773) 989-6262
Fax: (773) 989-6263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036077036 Illinois
Other Service Providers / Specialist 174400000X 036077036 Illinois

Profile Details

NPI number 1952324584
LBN Legal business name Venetos, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Jul 11th, 2024 - about 2 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 1952324584 NPPES
Illinois MEDICAID 036077036

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