Jonathan S Citow
Neurosurgeon
712 S Milwaukee Ave
Libertyville
, Illinois 60048-3279
Jonathan S Citow
Neurosurgeon
712 S Milwaukee Ave
Libertyville
, Illinois 60048-3279
(847) 362-3351
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Jonathan S Citow
- 712 S Milwaukee Ave
- Libertyville, IL
- Zip : 60048-3279
- Fax : (847) 362-3351
- Phone : (847) 362-1848
Second Address
- Jonathan S Citow
- 712 S Milwaukee Ave
- Libertyville, IL
- Zip : 60048-3279
- Fax : (847) 362-3351
- Phone : (847) 362-1848
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | 036094771 | IL |
National Provider Identifier
| NPI | 1093703571 |
|---|---|
| Provider Name | Jonathan S Citow |
| First Address | Libertyville, IL 60048-3279 |
| Second Address | Libertyville, IL 60048-3279 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2005 |
| Last Update Date | 06/02/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036094771 | (05) | IL |
| G90060 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.