Embach, Kevin J

Embach, Kevin J is an individual health care provider with primary practice located at 2160 S 1St Ave Loyola Univ. Hospital, Room 7604, Maywood IL 60153-3328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Embach, Kevin J can be contacted via phone (708) 216-8757.

Contact Information

Primary practice address
2160 S 1St Ave Loyola Univ. Hospital, Room 7604 Maywood IL 60153-3328
Phone: (708) 216-8757
Fax: (708) 216-1259
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301051783 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036126913 Illinois

Profile Details

NPI number 1437151974
LBN Legal business name Embach, Kevin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Mar 11th, 2011 - about 15 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 1437151974 NPPES
Michigan MEDICAID 2801074

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