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Contact Information

KEVIN L SANDERSON
9604 ZIMMER DRIVE
ALGONQUIN, IL60102
 Phone: 224-241-8112
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for KEVIN L SANDERSON · (Male)

NPI Number 1295380392
Status Active
Credentials
Entity Individual
Enumeration date 08/06/2019
Last updated 08/06/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 3001302
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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