MEDICARE: JAMES TIMOTHY KEARNS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	036134416	IL

General Provider Information

NPI Number	:	1316269228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES TIMOTHY KEARNS MD

Provider Business Mailing Address
First Line	:	2180 PFINGSTEN RD STE 3000
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60026-1340
Country	:	US
Telephone Number	:	847-503-3000
Fax Number	:	847-503-3500

Provider Business Practice Location Address
First Line	:	2180 PFINGSTEN RD STE 3000
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60026-1340
Country	:	US
Telephone Number	:	847-503-3000
Fax Number	:	847-503-3500

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2010
Last Update Date	:	01/31/2023

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