Kamin, Matthew L
Kamin, Matthew L is an individual health care provider with primary practice located at 3800 W 203Rd St Ste 204 , Olympia Fields IL 60461-1185. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kamin, Matthew L can be contacted via phone (708) 679-2670.Contact Information
Primary practice address
3800 W 203Rd St Ste 204
Olympia Fields IL 60461-1185
Phone: (708) 679-2670
Fax: (708) 503-3260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 02004383A | Indiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036-101235 | Illinois |
Profile Details
| NPI number | 1043203862 |
|---|---|
| LBN Legal business name | Kamin, Matthew L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Jan 8th, 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 | 1043203862 | NPPES |
| Illinois | MEDICAID | 036101235 | |
| Illinois | Other | 1124399605 | |
| Illinois | MEDICAID | 201288220 | |
| Illinois | Other | 1124399605 |
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