Cervenka, Karen

Cervenka, Karen is an individual health care provider with primary practice located at 701 W North Ave , Melrose Park IL 60160-1612. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Cervenka, Karen can be contacted via phone (708) 681-3200.

Contact Information

Primary practice address
701 W North Ave Melrose Park IL 60160-1612
Phone: (708) 681-3200
Fax: (708) 681-5228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036065651 Illinois

Profile Details

NPI number 1538238860
LBN Legal business name Cervenka, Karen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Apr 22nd, 2008 - about 16 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 1538238860 NPPES
Illinois MEDICAID 036065651
Illinois Other 01623845

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