Individual
JAMES KEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 RANDALL RD, EMERGENCY DEPT, GENEVA, IL 60134-4200
(630) 208-4009
(630) 208-0942
Mailing address
PO BOX 9030, WHEELING, IL 60090-9030
(847) 495-1617
(847) 537-4866
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036061087
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061087 3
—
IL
01
—
930003733
RAILROAD MEDICARE
IL
Enumeration date
10/19/2006
Last updated
07/08/2007
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