Wakeman, Kevin Philip

Wakeman, Kevin Philip is an individual health care provider with primary practice located at 2900 Foxfield Rd , St Charles IL 60174-5799. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wakeman, Kevin Philip can be contacted via phone (630) 377-6500.

Contact Information

Primary practice address
2900 Foxfield Rd St Charles IL 60174-5799
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois

Profile Details

NPI number 1356459879
LBN Legal business name Wakeman, Kevin Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Jul 9th, 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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