Kirschner, Greg Kenneth
Kirschner, Greg Kenneth is an individual health care provider with primary practice located at 1775 Ballard Rd Nesset Pavilion, Park Ridge IL 60068-1005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kirschner, Greg Kenneth can be contacted via phone (847) 318-6020.Contact Information
Primary practice address
1775 Ballard Rd Nesset Pavilion
Park Ridge IL 60068-1005
Phone: (847) 318-6020
Fax: (847) 318-2712
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036068505 | Illinois |
Profile Details
NPI number | 1497790869 |
---|---|
LBN Legal business name | Kirschner, Greg Kenneth |
Credentials | MD, MPH |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 18th, 2006 |
Last updated | Nov 26th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497790869 | NPPES |
Illinois | MEDICAID | 036068505 |
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