Kacmar, Lawrence Timothy

Kacmar, Lawrence Timothy is an individual health care provider with primary practice located at 3965 75Th St Suite 103, Aurora IL 60504-7925. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Kacmar, Lawrence Timothy can be contacted via phone (630) 375-1625.

Contact Information

Primary practice address
3965 75Th St Suite 103 Aurora IL 60504-7925
Phone: (630) 375-1625
Fax: (630) 375-1925
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 036-091557 Illinois

Profile Details

NPI number 1699861682
LBN Legal business name Kacmar, Lawrence Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Feb 26th, 2014 - about 12 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 1699861682 NPPES
Illinois MEDICAID 036091557
Illinois Other 17167232
Illinois Other 0002232125

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