Warren, Jonathan

Warren, Jonathan is an sole proprietor health care provider with primary practice located at 3077 W Jefferson St Ste 210 , Joliet IL 60435-5264. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Warren, Jonathan can be contacted via phone (815) 773-9090.

Contact Information

Primary practice address
3077 W Jefferson St Ste 210 Joliet IL 60435-5264
Phone: (815) 773-9090
Fax: (815) 773-9099
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-104101 Illinois
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 036104101 Illinois

Profile Details

NPI number 1871519124
LBN Legal business name Warren, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2006
Last updated Dec 26th, 2022 - about 4 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 1871519124 NPPES
Illinois MEDICAID 036104101

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