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Individual

DR. JOHN A KEFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
351 DELNOR DR, GENEVA, IL 60134-4220
(630) 232-0280
(630) 232-3895
Mailing address
351 DELNOR DR, GENEVA, IL 60134-4220
(630) 232-0280
(630) 232-3895

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036050847
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036050847
IL
01
206147
MEDICARE PTAN (GROUP)
IL
01
206147052
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
09/27/2005
Last updated
01/31/2018
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