Zoretic, Nicholas J
Zoretic, Nicholas J is an individual health care provider with primary practice located at 245 S Gary Ave Suite 100, Bloomingdale IL 60108-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Zoretic, Nicholas J can be contacted via phone (630) 924-4009.Contact Information
Primary practice address
245 S Gary Ave Suite 100
Bloomingdale IL 60108-2200
Phone: (630) 924-4009
Fax: (630) 924-9671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036107388 | Illinois |
Profile Details
| NPI number | 1003820820 |
|---|---|
| LBN Legal business name | Zoretic, Nicholas J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | May 14th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003820820 | NPPES |
| Illinois | Other | 3631498336019001 | CDPG HFS PAYEE ID |
| Illinois | Other | 363149833 | CDPG HFS PAYEE ID |
| Illinois | Other | 0222075 | CDPG HFS PAYEE ID |
| Illinois | MEDICAID | 036107388 | CDPG HFS PAYEE ID |
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