Kamenske, Jack Alan

Kamenske, Jack Alan is an sole proprietor health care provider with primary practice located at 12251 S 80Th Ave Ste 204 , Palos Heights IL 60463-1256. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Kamenske, Jack Alan can be contacted via phone (773) 432-4800.

Contact Information

Primary practice address
12251 S 80Th Ave Ste 204 Palos Heights IL 60463-1256
Phone: (773) 432-4800
Fax: (844) 805-4742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209020706 Illinois

Profile Details

NPI number 1669012837
LBN Legal business name Kamenske, Jack Alan
Credentials MSN, RN, FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2020
Last updated Feb 20th, 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.

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