Venson, John Nicholas

Venson, John Nicholas is an individual health care provider with primary practice located at 1455 E Golf Rd Ste 110, Des Plaines IL 60016-1250. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Venson, John Nicholas can be contacted via phone (847) 390-7666.

Contact Information

Primary practice address
1455 E Golf Rd Ste 110 Des Plaines IL 60016-1250
Phone: (847) 390-7666
Fax: (847) 390-9345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X Illinois

Profile Details

NPI number 1912904798
LBN Legal business name Venson, John Nicholas
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912904798 NPPES
Idaho Other 60000380 BCBS

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