Zimmerman, Phil G

Zimmerman, Phil G is an individual health care provider with primary practice located at 405 Charles St , Mt Morris IL 61054-1646. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Zimmerman, Phil G can be contacted via phone (815) 734-6061.

Contact Information

Primary practice address
405 Charles St Mt Morris IL 61054-1646
Phone: (815) 734-6061
Fax: (815) 734-9021
Website:
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Health care specialties

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

Profile Details

NPI number 1750357620
LBN Legal business name Zimmerman, Phil G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
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 1750357620 NPPES
Illinois Other 3360122024 CONTROLLED SUBSTANCE

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