Masterson, Kevin Gerard

Masterson, Kevin Gerard is an individual health care provider with primary practice located at 1335 N Mill St Ste 100 , Naperville IL 60563-2047. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Masterson, Kevin Gerard can be contacted via phone (847) 982-6710.

Contact Information

Primary practice address
1335 N Mill St Ste 100 Naperville IL 60563-2047
Phone: (847) 982-6710
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01078057A Indiana
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 036165554 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 11018125A Illinois
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036165554 Illinois

Profile Details

NPI number 1962881318
LBN Legal business name Masterson, Kevin Gerard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2015
Last updated May 30th, 2024 - about 6 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962881318 NPPES
Indiana MEDICAID 201295060

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