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Contact Information

JONATHAN A ORTMAN, MD
403 E 1ST ST
DIXON, IL61021
 Phone: 815-285-5552
 Fax: 815-285-5865
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JONATHAN A ORTMAN · (Male)

NPI Number 1649248204
Status Active
Credentials MD
Entity Individual
Enumeration date 03/09/2006
Last updated 11/19/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-077540
  • IL Medicaid 036077540
  • IL Other 800200 MEDICARE GROUP PROVIDER NUMBER
  • IL Other L10167 MEDICARE PTAN
  • IL Other L53041 MEDICARE PTAN
Hospital affiliation(s)
  • KATHERINE SHAW BETHEA HOSPITAL - (Acute Care)
    403 E 1ST ST
    DIXON, IL 61021
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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