Kakavas, Peter W
Kakavas, Peter W is an individual health care provider with primary practice located at 13011 S 104Th Ave Ste 100 , Palos Park IL 60464-1508. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Kakavas, Peter W can be contacted via phone (708) 274-3278.Contact Information
Primary practice address
13011 S 104Th Ave Ste 100
Palos Park IL 60464-1508
Phone: (708) 274-3278
Fax: (708) 274-3299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036083840 | Illinois |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036083840 | Illinois |
Profile Details
| NPI number | 1528022191 |
|---|---|
| LBN Legal business name | Kakavas, Peter W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Sep 4th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528022191 | NPPES |
| Illinois | Other | 01621208 | BLUECROSS BLUESHIELD |
| Illinois | Other | 416810 | BLUECROSS BLUESHIELD |
| Illinois | Other | CD8033 | BLUECROSS BLUESHIELD |
| Illinois | Other | 236551 | BLUECROSS BLUESHIELD |
| Illinois | Other | CG1672 | BLUECROSS BLUESHIELD |
| Illinois | Other | CN2703 | BLUECROSS BLUESHIELD |
| Illinois | Other | 01621208 | BLUECROSS BLUESHIELD |
| Illinois | Other | 060047092 | BLUECROSS BLUESHIELD |
| Illinois | Other | 1508810086 | BLUECROSS BLUESHIELD |
| Illinois | MEDICAID | 036083840 | BLUECROSS BLUESHIELD |
| Illinois | Other | 060047092 | BLUECROSS BLUESHIELD |
| Illinois | Other | 060056850 | BLUECROSS BLUESHIELD |
| Illinois | Other | 236550 | BLUECROSS BLUESHIELD |
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