Provider Demographics
NPI:1609119411
Name:BIEMER, JOHN KEFFER (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:KEFFER
Last Name:BIEMER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2160 S 1ST AVE
Mailing Address - Street 2:LUMC, DEPT. OF PATHOLOGY, BLDG 110, RM 2209
Mailing Address - City:MAYWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60153-3328
Mailing Address - Country:US
Mailing Address - Phone:708-216-3250
Mailing Address - Fax:708-327-2620
Practice Address - Street 1:2160 S 1ST AVE
Practice Address - Street 2:LUMC, DEPT. OF PATHOLOGY, BLDG 110, RM 2209
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153-3328
Practice Address - Country:US
Practice Address - Phone:708-216-3250
Practice Address - Fax:708-327-2620
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-29
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125062984207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology