Larson, John Keith
Larson, John Keith is an sole proprietor health care provider with primary practice located at 2001 Butterfield Rd Suite 320, Downers Grove IL 60515-1050. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Larson, John Keith can be contacted via phone (312) 563-3611.Contact Information
Primary practice address
2001 Butterfield Rd Suite 320
Downers Grove IL 60515-1050
Phone: (312) 563-3611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | Illinois |
Profile Details
| NPI number | 1013030295 |
|---|---|
| LBN Legal business name | Larson, John Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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