Werner, Phillip Ladd

Werner, Phillip Ladd is an individual health care provider with primary practice located at 1775 Ballard Rd , Park Ridge IL 60068-1005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Werner, Phillip Ladd can be contacted via phone (847) 318-2400.

Contact Information

Primary practice address
1775 Ballard Rd Park Ridge IL 60068-1005
Phone: (847) 318-2400
Fax: (847) 318-2414
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036047609 Illinois

Profile Details

NPI number 1255361788
LBN Legal business name Werner, Phillip Ladd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Dec 20th, 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 1255361788 NPPES
Illinois Other 036047609 LICENSE
Illinois MEDICAID 036047609 LICENSE

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