Heinrich, Kenneth

Heinrich, Kenneth is an individual health care provider with primary practice located at 3249 Oak Park Ave , Berwyn IL 60402-3429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Heinrich, Kenneth can be contacted via phone (708) 783-9100.

Contact Information

Primary practice address
3249 Oak Park Ave Berwyn IL 60402-3429
Phone: (708) 783-9100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 38590 Iowa
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2009010649 Missouri
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-110486 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4845120 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35.093955 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101248860 Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 46549 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301094015 Michigan

Profile Details

NPI number 1891711743
LBN Legal business name Heinrich, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Feb 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891711743 NPPES
Illinois MEDICAID 036110486-5
Illinois MEDICAID 036110486-7
Illinois MEDICAID 1521933
Illinois Other P01731341
Illinois Other 036110486
Illinois MEDICAID 036110486-8
Illinois MEDICAID 1891711743
Illinois MEDICAID 036110486-3
Illinois MEDICAID 1891711743
Illinois MEDICAID 036110486
Illinois MEDICAID 7100112540
Illinois MEDICAID 036110486-9
Illinois MEDICAID 1891711743
Illinois MEDICAID 036110486-6
Illinois Other 1891711743
Illinois MEDICAID 1891711743
Illinois MEDICAID 1891711743
Illinois MEDICAID 2976472

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