Kiernan, Joseph P

Kiernan, Joseph P is an individual health care provider with primary practice located at 1120-C W Lake Cook Rd , Buffalo Grove IL 60089. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kiernan, Joseph P can be contacted via phone (847) 459-6060.

Contact Information

Primary practice address
1120-C W Lake Cook Rd Buffalo Grove IL 60089
Phone: (847) 459-6060
Fax: (847) 459-9797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036061294 Illinois

Profile Details

NPI number 1669429973
LBN Legal business name Kiernan, Joseph P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Dec 22nd, 2021 - about 4 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 1669429973 NPPES
Illinois MEDICAID 036061294

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