Joseph, Kevin Augustine

Joseph, Kevin Augustine is an individual health care provider with primary practice located at 7110 W 127Th St Ste 130 , Palos Heights IL 60463-1579. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Joseph, Kevin Augustine can be contacted via phone (708) 923-6300.

Contact Information

Primary practice address
7110 W 127Th St Ste 130 Palos Heights IL 60463-1579
Phone: (708) 923-6300
Fax: (708) 923-6303
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036139732 Illinois

Profile Details

NPI number 1932441771
LBN Legal business name Joseph, Kevin Augustine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2013
Last updated Jan 6th, 2022 - about 2 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 1932441771 NPPES
Illinois MEDICAID 036139732

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