Kirk, Scott Harold
Kirk, Scott Harold is an individual health care provider with primary practice located at 7427 Lake St , River Forest IL 60305-1817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kirk, Scott Harold can be contacted via phone (708) 771-3334.Contact Information
Primary practice address
7427 Lake St
River Forest IL 60305-1817
Phone: (708) 771-3334
Fax: (708) 771-9614
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036059716 | Illinois |
Profile Details
NPI number | 1235158098 |
---|---|
LBN Legal business name | Kirk, Scott Harold |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 19th, 2006 |
Last updated | Apr 4th, 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 | 1235158098 | NPPES |
Illinois | Other | 362658561 | FED TAX ID # |
Illinois | MEDICAID | 36059716 | FED TAX ID # |
Illinois | Other | 1607956 | FED TAX ID # |
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