Kazaniwskyj, Andrew L
Kazaniwskyj, Andrew L is an sole proprietor health care provider with primary practice located at 15505 E 127Th St Ste 100 , Lemont IL 60439-4433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kazaniwskyj, Andrew L can be contacted via phone (630) 257-5400.Contact Information
Primary practice address
15505 E 127Th St Ste 100
Lemont IL 60439-4433
Phone: (630) 257-5400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036061149 | Illinois |
Profile Details
| NPI number | 1548249071 |
|---|---|
| LBN Legal business name | Kazaniwskyj, Andrew L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Jul 21st, 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 | 1548249071 | NPPES |
| Illinois | MEDICAID | 036061149 |
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