Vizinas, Dimitrina

Vizinas, Dimitrina is an sole proprietor health care provider with primary practice located at 1440 Renaissance Dr Ste 300 , Park Ridge IL 60068-1471. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Vizinas, Dimitrina can be contacted via phone (847) 254-9714.

Contact Information

Primary practice address
1440 Renaissance Dr Ste 300 Park Ridge IL 60068-1471
Phone: (847) 254-9714
Fax: (847) 803-1806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036138515 Illinois

Profile Details

NPI number 1043586852
LBN Legal business name Vizinas, Dimitrina
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2012
Last updated Jan 4th, 2016 - about 10 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 1043586852 NPPES
Illinois Other 036138515 DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

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