Kaczmarek, Gregory D
Kaczmarek, Gregory D is an sole proprietor health care provider with primary practice located at 4905 Old Orchard Ctr Lower Level, Skokie IL 60077-1425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kaczmarek, Gregory D can be contacted via phone (847) 679-6707.Contact Information
Primary practice address
4905 Old Orchard Ctr Lower Level
Skokie IL 60077-1425
Phone: (847) 679-6707
Fax: (847) 679-6721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036081697 | Illinois |
Profile Details
| NPI number | 1629032958 |
|---|---|
| LBN Legal business name | Kaczmarek, Gregory D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2006 |
| Last updated | May 12th, 2008 - about 17 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 | 1629032958 | NPPES |
| Illinois | Other | 31603901 | BLUE CROSS BLUE SHIELD |
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