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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

JEREMY LARVA, PA-C
259 E ERIE ST FL 13
CHICAGO, IL60611-3926
 Phone: 312-695-6800
 Fax: 312-695-2772
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JEREMY LARVA · (Male)

NPI # 1003021916
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/14/2007
Last updated 08/03/2017 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085006107
Hospital affiliation(s)
  • ELMHURST MEMORIAL HOSPITAL - (Acute Care)
    155 EAST BRUSH HILL ROAD
    ELMHURST, IL 60126
  • NORTHWESTERN MEMORIAL HOSPITAL - (Acute Care)
    251 E HURON ST
    CHICAGO, IL 60611
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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