Kamenske, Jack Alan

Kamenske, Jack Alan is an sole proprietor health care provider with primary practice located at 4440 W 95Th St , Oak Lawn IL 60453-2600. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is his primary health care specialty. Kamenske, Jack Alan can be contacted via phone (708) 684-5580.

Contact Information

Primary practice address
4440 W 95Th St Oak Lawn IL 60453-2600
Phone: (708) 684-5580
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209020706 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209-020706 Illinois

Profile Details

NPI number 1669012837
LBN Legal business name Kamenske, Jack Alan
Credentials MSN, RN, FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2020
Last updated Feb 26th, 2025 - about last year

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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