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Contact Information

MARIYA DMYTRIV KAPENIAK, MD
1640 N DAMEN AVE
CHICAGO, IL60647-5553
 Phone: 312-219-2230
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARIYA DMYTRIV KAPENIAK · (Female)

NPI Number 1386860997
Status Active
Credentials MD
Entity Individual
Enumeration date 04/18/2007
Last updated 09/23/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036120196
Hospital affiliation(s)
  • FRANCISCAN ST ANTHONY HEALTH - MICHIGAN CITY - (Acute Care)
    301 W HOMER ST
    MICHIGAN CITY, IN 46360
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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