Kentor, Paul M
Kentor, Paul M is an individual health care provider with primary practice located at 580 Roger Williams Ave Ste 25 , Highland Park IL 60035-4820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Kentor, Paul M can be contacted via phone (847) 634-1960.Contact Information
Primary practice address
580 Roger Williams Ave Ste 25
Highland Park IL 60035-4820
Phone: (847) 634-1960
Fax: (847) 864-0661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 036044332 | Illinois |
Profile Details
| NPI number | 1538146758 |
|---|---|
| LBN Legal business name | Kentor, Paul M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Apr 12th, 2023 - about last year |
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 | 1538146758 | NPPES |
| Illinois | Other | 210357 | GROUP |
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