Lopatka, Keith Alan

Lopatka, Keith Alan is an individual health care provider with primary practice located at 7300 W College Dr Ste 1Nw, Palos Heights IL 60463-1152. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Lopatka, Keith Alan can be contacted via phone (708) 671-1374.

Contact Information

Primary practice address
7300 W College Dr Ste 1Nw Palos Heights IL 60463-1152
Phone: (708) 671-1374
Fax: (708) 671-1378
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036-113547 Illinois
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01056082A Indiana

Profile Details

NPI number 1770509648
LBN Legal business name Lopatka, Keith Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Feb 18th, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770509648 NPPES
Illinois MEDICAID 036-113547

Popular Providers