Smedegard, James Kenneth

Smedegard, James Kenneth is an individual health care provider with primary practice located at 12255 S 80Th Avenue Suite 202, Palos Heights IL 60463. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Smedegard, James Kenneth can be contacted via phone (708) 923-7878.

Contact Information

Primary practice address
12255 S 80Th Avenue Suite 202 Palos Heights IL 60463
Phone: (708) 923-7878
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036071573 Illinois

Profile Details

NPI number 1942393640
LBN Legal business name Smedegard, James Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1942393640 NPPES
Illinois Other 7229P CATERPILLAR
Illinois Other 363827229 02 CATERPILLAR
Illinois Other 219043 CATERPILLAR
Illinois Other 363827229 CATERPILLAR
Illinois Other 363827229 02 CATERPILLAR
Illinois Other L029112 CATERPILLAR
Illinois Other 260015287 CATERPILLAR
Illinois Other 0991516762 CATERPILLAR
Illinois Other 12368 CATERPILLAR
Illinois MEDICAID 036071573 CATERPILLAR
Illinois Other 055429 CATERPILLAR

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