Individual
DR. KENNETH W BIELTMANN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
818 REBA PL, EVANSTON, IL 60202-2600
(847) 212-1877
Mailing address
818 REBA PL, EVANSTON, IL 60202-2600
(847) 212-1877
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IL
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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