Lertsburapa, Kirkeith
Lertsburapa, Kirkeith is an individual health care provider with primary practice located at 1890 Silver Cross Blvd Ste 240 , New Lenox IL 60451-9528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Lertsburapa, Kirkeith can be contacted via phone (815) 485-4469.Contact Information
Primary practice address
1890 Silver Cross Blvd Ste 240
New Lenox IL 60451-9528
Phone: (815) 485-4469
Fax: (815) 485-4463
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036110201 | Illinois |
Profile Details
| NPI number | 1538208004 |
|---|---|
| LBN Legal business name | Lertsburapa, Kirkeith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Aug 31st, 2023 - about 2 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 | 1538208004 | NPPES |
| Illinois | MEDICAID | 036110201 |
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