Smith, Kevin M
Smith, Kevin M is an individual health care provider with primary practice located at 1333 Burr Ridge Pkwy Ste 200 , Burr Ridge IL 60527-0833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Kevin M can be contacted via phone (630) 756-5270.Contact Information
Primary practice address
1333 Burr Ridge Pkwy Ste 200
Burr Ridge IL 60527-0833
Phone: (630) 756-5270
Fax: (574) 538-4859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-093367 | Illinois |
Profile Details
| NPI number | 1710096557 |
|---|---|
| LBN Legal business name | Smith, Kevin M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Jun 5th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710096557 | NPPES |
| Illinois | MEDICAID | 036093367 |
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