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Contact Information

NEPTUNE
2189 N IL ROUTE 83 STE 220
ROUND LAKE BEACH, IL60073-4906
 Phone: 312-857-5382
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for NEPTUNE · (Female)

NPI # 1720447667
Status Active
Credentials
Entity Individual
Enumeration date 02/21/2016
Last updated 05/09/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • ZZ License # 11O49IK
Hospital affiliation(s) Not Available
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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