National Provider Identifier Database

DEKALB CLINIC CHARTERED
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.


NPI Profile & details for DEKALB CLINIC CHARTERED

NPI Number 1447277140
Legal business name
LBN
DEKALB CLINIC CHARTERED
Authorized official ROGER HAAB - (CHAIRMAN, BOARD OF DIRECTORS)
Entity Organization
Organization subpart No
Enumeration date 07/17/2006
Last updated 04/30/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 016-005282
  • IL License #: 036119759
  • IL License #: 036120383
  • IL Other: 14D0415284 CLIA #
  • IL Other: 148547 MC INDEPENDENT LAB
  • IL Other: 663680 MEDICARE-GROUP ID
  • IL Other: 1421279 NABP

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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