Kessel, Kenneth
Kessel, Kenneth is an individual health care provider with primary practice located at 1323 Memorial Dr Suite 214, La Grange IL 60525-2601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kessel, Kenneth can be contacted via phone (708) 352-7470.Contact Information
Primary practice address
1323 Memorial Dr Suite 214
La Grange IL 60525-2601
Phone: (708) 352-7470
Fax: (708) 352-3867
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36036107 | Illinois |
Profile Details
| NPI number | 1851341150 |
|---|---|
| LBN Legal business name | Kessel, Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Feb 19th, 2013 - about 12 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 | 1851341150 | NPPES |
| Illinois | MEDICAID | 36036107 |
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