Koveleski, Jules T
Koveleski, Jules T is an sole proprietor health care provider with primary practice located at 10640 West 165 Street , Orland Park IL 60467. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Koveleski, Jules T can be contacted via phone (708) 364-0261.Contact Information
Primary practice address
10640 West 165 Street
Orland Park IL 60467
Phone: (708) 364-0261
Fax: (708) 364-0269
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036052720 | Illinois |
Profile Details
| NPI number | 1144273897 |
|---|---|
| LBN Legal business name | Koveleski, Jules T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2006 |
| Last updated | May 13th, 2009 - about 15 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 | 1144273897 | NPPES |
| Illinois | Other | 01615936 | BLUE SHIELD |
| Illinois | Other | 130004857 | BLUE SHIELD |
| Illinois | MEDICAID | 036052720 | BLUE SHIELD |
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