Freeman, Kendal T

Freeman, Kendal T is an individual health care provider with primary practice located at 3700 W 203Rd St Suite 201, Olympia Fields IL 60461-1180. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Freeman, Kendal T can be contacted via phone (708) 679-2880.

Contact Information

Primary practice address
3700 W 203Rd St Suite 201 Olympia Fields IL 60461-1180
Phone: (708) 679-2880
Fax: (708) 503-3295
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036101263 Illinois

Profile Details

NPI number 1134183916
LBN Legal business name Freeman, Kendal T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Mar 17th, 2018 - about 8 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 1134183916 NPPES
Illinois MEDICAID 036101263

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