Schaefer, Kimberly P

Schaefer, Kimberly P is an individual health care provider with primary practice located at 1777 Green Bay Rd , Highland Park IL 60035-3109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Schaefer, Kimberly P can be contacted via phone (847) 433-3460.

Contact Information

Primary practice address
1777 Green Bay Rd Highland Park IL 60035-3109
Phone: (847) 433-3460
Fax: (847) 433-4062
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036109784 Illinois

Profile Details

NPI number 1811980303
LBN Legal business name Schaefer, Kimberly P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Feb 16th, 2021 - about 3 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 1811980303 NPPES
Illinois Other P00148713 RR MEDICARE
Illinois MEDICAID 036109784 RR MEDICARE

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