Kooiker, Philip Dean
Kooiker, Philip Dean is an individual health care provider with primary practice located at 16001 108Th Ave , Orland Park IL 60467-8788. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Kooiker, Philip Dean can be contacted via phone (708) 460-0007.Contact Information
Primary practice address
16001 108Th Ave
Orland Park IL 60467-8788
Phone: (708) 460-0007
Fax: (708) 460-0005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 036085389 | Illinois |
Profile Details
| NPI number | 1770552192 |
|---|---|
| LBN Legal business name | Kooiker, Philip Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Jun 24th, 2010 - about 14 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 | 1770552192 | NPPES |
| Illinois | MEDICAID | 036085389 |
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