Fogel, Kenneth Adam
Fogel, Kenneth Adam is an individual health care provider with primary practice located at 200 S Frontage Rd Ste 324 , Burr Ridge IL 60527-6953. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fogel, Kenneth Adam can be contacted via phone (847) 347-0491.Contact Information
Primary practice address
200 S Frontage Rd Ste 324
Burr Ridge IL 60527-6953
Phone: (847) 347-0491
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071006356 | Illinois |
Profile Details
| NPI number | 1033121124 |
|---|---|
| LBN Legal business name | Fogel, Kenneth Adam |
| Credentials | PSY D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Jan 8th, 2021 - about 4 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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