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:
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Health care specialties

SpecialtyCodeLicense #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 11 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 1851341150 NPPES
Illinois MEDICAID 36036107

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