Kedzie, Lori
Kedzie, Lori is an sole proprietor health care provider with primary practice located at 650 N Peace Rd Ste C , Dekalb IL 60115-8401. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Kedzie, Lori can be contacted via phone (815) 748-7236.Contact Information
Primary practice address
650 N Peace Rd Ste C
Dekalb IL 60115-8401
Phone: (815) 748-7236
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 227.010352 | Illinois |
Profile Details
NPI number | 1598202772 |
---|---|
LBN Legal business name | Kedzie, Lori |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 25th, 2017 |
Last updated | Jan 25th, 2017 - about 8 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 | 1598202772 | NPPES |
Other | N/A | N/A |
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