Kcomt, William A
Kcomt, William A is an individual health care provider with primary practice located at 5201 S. Willow Springs Road Suite 450, La Grange IL 60525. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Kcomt, William A can be contacted via phone (716) 346-7645.Contact Information
Primary practice address
5201 S. Willow Springs Road Suite 450
La Grange IL 60525
Phone: (716) 346-7645
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01057051A | Indiana |
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | MD424246 | Pennsylvania |
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 01057051A | Indiana |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 01057051A | Indiana |
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 180005257 | Illinois |
Profile Details
NPI number | 1710989587 |
---|---|
LBN Legal business name | Kcomt, William A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 11th, 2005 |
Last updated | Sep 18th, 2018 - about 7 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 | 1710989587 | NPPES |
Pennsylvania | MEDICAID | 1010426340002 |
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