Kaczmarek, Gregory D

Kaczmarek, Gregory D is an sole proprietor health care provider with primary practice located at 4905 Old Orchard Ctr Lower Level, Skokie IL 60077-1425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kaczmarek, Gregory D can be contacted via phone (847) 679-6707.

Contact Information

Primary practice address
4905 Old Orchard Ctr Lower Level Skokie IL 60077-1425
Phone: (847) 679-6707
Fax: (847) 679-6721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036081697 Illinois

Profile Details

NPI number 1629032958
LBN Legal business name Kaczmarek, Gregory D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2006
Last updated May 12th, 2008 - about 18 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 1629032958 NPPES
Illinois Other 31603901 BLUE CROSS BLUE SHIELD

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