Zygmunt, Kenneth H

Zygmunt, Kenneth H is an sole proprietor health care provider with primary practice located at 552 S Washington St Ste 116, Naperville IL 60540-6678. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Zygmunt, Kenneth H can be contacted via phone (630) 983-5694.

Contact Information

Primary practice address
552 S Washington St Ste 116 Naperville IL 60540-6678
Fax: (630) 983-5632
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016003250 Illinois

Profile Details

NPI number 1154325074
LBN Legal business name Zygmunt, Kenneth H
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2005
Last updated Jan 19th, 2011 - about 13 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 1154325074 NPPES
Illinois Other 02230069 BLUE CROSS/BLUE SHIELD

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