Kerkstra, Ma Lea

Kerkstra, Ma Lea is an sole proprietor health care provider with primary practice located at 15900 S Cicero Ave , Oak Forest IL 60452. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Kerkstra, Ma Lea can be contacted via phone (708) 633-4429.

Contact Information

Primary practice address
15900 S Cicero Ave Oak Forest IL 60452
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051288182 Illinois

Profile Details

NPI number 1902354491
LBN Legal business name Kerkstra, Ma Lea
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2016
Last updated Sep 14th, 2016 - about 9 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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