Vatz, Kenneth A
Vatz, Kenneth A is an sole proprietor health care provider with primary practice located at 1140 Cherry St , Winnetka IL 60093-2115. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Vatz, Kenneth A can be contacted via phone (847) 612-1547.Contact Information
Primary practice address
1140 Cherry St
Winnetka IL 60093-2115
Phone: (847) 612-1547
Fax: (847) 441-7311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036051900 | Illinois |
Profile Details
| NPI number | 1326184862 |
|---|---|
| LBN Legal business name | Vatz, Kenneth A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jan 8th, 2016 - about 9 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 | 1326184862 | NPPES |
| Illinois | MEDICAID | 036051900 |
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