Kaczmarek, Kenneth Andrew

Kaczmarek, Kenneth Andrew is an sole proprietor health care provider with primary practice located at 38463 North 9Th Street , Spring Grove IL 60081-9017. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kaczmarek, Kenneth Andrew can be contacted via phone (847) 973-2188.

Contact Information

Primary practice address
38463 North 9Th Street Spring Grove IL 60081-9017
Fax: (847) 973-2644
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 04172088-ASCP Illinois

Profile Details

NPI number 1033368493
LBN Legal business name Kaczmarek, Kenneth Andrew
Credentials PBT-ASCP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2008
Last updated Sep 10th, 2008 - about 15 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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