Williams, Kurt J

Williams, Kurt J is an individual health care provider with primary practice located at 351 Delnor Dr Suite 100, Geneva IL 60134-4220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Williams, Kurt J can be contacted via phone (630) 232-0280.

Contact Information

Primary practice address
351 Delnor Dr Suite 100 Geneva IL 60134-4220
Phone: (630) 232-0280
Fax: (630) 232-3895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036059197 Illinois

Profile Details

NPI number 1306833850
LBN Legal business name Williams, Kurt J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated May 14th, 2012 - about 12 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 1306833850 NPPES
Illinois Other 206147 MEDICARE PTAN (GROUP)
Illinois MEDICAID 036059197 MEDICARE PTAN (GROUP)
Illinois Other 206147053 MEDICARE PTAN (GROUP)
Illinois Other P00931953 MEDICARE PTAN (GROUP)

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