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Contact Information

BRIAN A KING, DPM
6142 W ROOSEVELT RD
SUITE 105
OAK PARK, IL60304
 Phone: 708-848-0021
 Fax: 708-848-0598
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRIAN A KING · (Male)

NPI # 1962439091
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/26/2006
Last updated 08/08/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 016004091
  • IL Medicaid 016004091
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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