Kirk, Todd S

Kirk, Todd S is an sole proprietor health care provider with primary practice located at 13303 S Ridgeland Ave Suite B, Palos Heights IL 60463-1815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kirk, Todd S can be contacted via phone (708) 857-7990.

Contact Information

Primary practice address
13303 S Ridgeland Ave Suite B Palos Heights IL 60463-1815
Phone: (708) 857-7990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036068842 Illinois

Profile Details

NPI number 1811955560
LBN Legal business name Kirk, Todd S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Aug 15th, 2013 - about 13 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 1811955560 NPPES
Illinois MEDICAID 036068842

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