O'Keefe, Andrew Benedict

O'Keefe, Andrew Benedict is an individual health care provider with primary practice located at 6374 N Lincoln Ave Ste 314, Chicago IL 60659-1275. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. O'Keefe, Andrew Benedict can be contacted via phone (773) 866-9800.

Contact Information

Primary practice address
6374 N Lincoln Ave Ste 314 Chicago IL 60659-1275
Phone: (773) 866-9800
Fax: (773) 866-1733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 016-004954 Illinois

Profile Details

NPI number 1669478640
LBN Legal business name O'Keefe, Andrew Benedict
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Mar 2nd, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669478640 NPPES
Illinois MEDICAID 016004954
Illinois Other 1208030001
Illinois Other 0001623503
Illinois Other P00315818

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