Heiferman, Kenneth S
Heiferman, Kenneth S is an sole proprietor health care provider with primary practice located at 7973 Chicago Ave , River Forest IL 60305-1363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Heiferman, Kenneth S can be contacted via phone (708) 209-1111.Contact Information
Primary practice address
7973 Chicago Ave
River Forest IL 60305-1363
Phone: (708) 209-1111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 036067100 | Illinois |
Profile Details
| NPI number | 1306811385 |
|---|---|
| LBN Legal business name | Heiferman, Kenneth S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Jan 23rd, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306811385 | NPPES |
| Illinois | MEDICAID | 0360671001 |
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