Kacker, Shawn Ashley
Kacker, Shawn Ashley is an individual health care provider with primary practice located at 1675 Dempster St Fl 3 , Park Ridge IL 60068-1110. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Kacker, Shawn Ashley can be contacted via phone (847) 318-9330.Contact Information
Primary practice address
1675 Dempster St Fl 3
Park Ridge IL 60068-1110
Phone: (847) 318-9330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 125070942 | Illinois |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 036159149 | Illinois |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036-159149 | Illinois |
Profile Details
| NPI number | 1073042727 |
|---|---|
| LBN Legal business name | Kacker, Shawn Ashley |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2017 |
| Last updated | Aug 21st, 2024 - about 2 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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