Waldinger, Jason Bohm

Waldinger, Jason Bohm is an sole proprietor health care provider with primary practice located at 71 Waukegan Rd Ste 700 , Lake Bluff IL 60044-1614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Waldinger, Jason Bohm can be contacted via phone (847) 433-2620.

Contact Information

Primary practice address
71 Waukegan Rd Ste 700 Lake Bluff IL 60044-1614
Phone: (847) 433-2620
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036.134256 Illinois

Profile Details

NPI number 1437461027
LBN Legal business name Waldinger, Jason Bohm
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2010
Last updated Mar 3rd, 2021 - about 5 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 1437461027 NPPES
Illinois Other 125058305 STATE OF ILLINOIS MEDICAL LICENSE NUMBER

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