Heiferman, Kenneth S

Heiferman, Kenneth S is an sole proprietor health care provider with primary practice located at 7973 Chicago Ave , River Forest IL 60305-1363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Heiferman, Kenneth S can be contacted via phone (708) 209-1111.

Contact Information

Primary practice address
7973 Chicago Ave River Forest IL 60305-1363
Phone: (708) 209-1111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 036067100 Illinois

Profile Details

NPI number 1306811385
LBN Legal business name Heiferman, Kenneth S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2006
Last updated Jan 23rd, 2017 - about 9 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 1306811385 NPPES
Illinois MEDICAID 0360671001

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