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Contact Information

KEITH M RAWLS, IDC
3540 WESTOVER RD APT A
FORT SHERIDAN, IL60037-1004
 Phone: 847-788-4382
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Independent Duty Corpsman

1710I1002X
Indicates primary specialty

NPI Profile & details for KEITH M RAWLS · (Male)

NPI # 1871797514
Status Active
Credentials IDC
Entity Individual
Enumeration date 06/14/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
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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