Brin, Kenneth P.

Brin, Kenneth P. is an individual health care provider with primary practice located at 3825 Highland Ave Tower 2 - Suite 400, Downers Grove IL 60515-1552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Brin, Kenneth P. can be contacted via phone (630) 719-4799.

Contact Information

Primary practice address
3825 Highland Ave Tower 2 - Suite 400 Downers Grove IL 60515-1552
Phone: (630) 719-4799
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD417581 Pennsylvania
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036-120806 Illinois

Profile Details

NPI number 1013982099
LBN Legal business name Brin, Kenneth P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Apr 2nd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013982099 NPPES
Illinois MEDICAID 036120806

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