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Contact Information

PAUL J KRIVICKAS, MD
1000 N. WESTMORELAND RD
LAKE FOREST, IL60045
 Phone: 312-695-6868
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for PAUL J KRIVICKAS · (Male)

NPI Number 1093920118
Status Active
Credentials MD
Entity Individual
Enumeration date 05/11/2007
Last updated 09/18/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036122794
  • MI License # 4301087746
  • IL Medicaid 036122794/1
Hospital affiliation(s)
  • LAKE FOREST HOSPITAL - (Acute Care)
    660 N WESTMORELAND ROAD
    LAKE FOREST, IL 60045
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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