Keane, Dennis

Keane, Dennis is an individual health care provider with primary practice located at 2020 Ogden Ave , Aurora IL 60504-5894. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Keane, Dennis can be contacted via phone (630) 909-6470.

Contact Information

Primary practice address
2020 Ogden Ave Aurora IL 60504-5894
Phone: (630) 909-6470
Fax: (630) 585-0042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036.086694 Illinois

Profile Details

NPI number 1073681136
LBN Legal business name Keane, Dennis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jan 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073681136 NPPES
Illinois Other 363236791 TAX ID #
Illinois MEDICAID 036086694 TAX ID #

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