Individual
PAUL BERNARD KIRCHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
250 E MAPLE ST, NEW LENOX, IL 60451-1871
(815) 485-0760
(815) 463-6138
Mailing address
250 E MAPLE ST, NEW LENOX, IL 60451-1871
(815) 485-0760
(815) 463-6138
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004527
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004527
—
IL
Enumeration date
08/18/2006
Last updated
10/16/2012
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