Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | 036049386 | IL |
NPI | 1053367839 |
---|---|
Provider Name | Louis Stephen Mckeever |
First Address | Oakbrook Terrace, IL 60181-5243 |
Second Address | Elmhurst, IL 60126-5658 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 03/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036049386 | (05) | IL |
060015700 | RAILROAD MEDICARE (01) | |
C39073 | (02) |