Kiefer, Peter Jurgen

Kiefer, Peter Jurgen is an individual health care provider with primary practice located at 150 N River Rd Ste 110 , Des Plaines IL 60016-1272. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kiefer, Peter Jurgen can be contacted via phone (847) 342-8956.

Contact Information

Primary practice address
150 N River Rd Ste 110 Des Plaines IL 60016-1272
Phone: (847) 342-8956
Fax: (847) 342-8958
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036059034 Illinois

Profile Details

NPI number 1386688158
LBN Legal business name Kiefer, Peter Jurgen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Mar 19th, 2021 - about 5 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 1386688158 NPPES
Illinois MEDICAID 036059034

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