Ali J Kilic, MD | |
1020 35th St, Kenosha, WI 53140-1932 | |
(262) 652-3500 | |
(262) 997-0113 |
Full Name | Ali J Kilic |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1020 35th St, Kenosha, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053984864 | NPI | - | NPPES |
100238246 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 81527-20 (Wisconsin) | Primary |
Entity Name | Mercy Health System Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Mailing Address | Practice Location Address |
---|---|
Ali J Kilic, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Ali J Kilic, MD 1020 35th St, Kenosha, WI 53140-1932 Ph: (262) 652-3500 |
Dragos G Nanul, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Avenue, Suite 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412 | |
Dr. Paul V Capelli, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7010 Fax: 262-948-7328 | |
Rodrigo A Mata Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142 Phone: 262-652-6995 Fax: 262-652-1370 | |
Dr. Charles Santilukka, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 35th St, Suite 160, Kenosha, WI 53140 Phone: 262-652-3500 | |
Priti J Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Aurora Health Care, Kenosha, WI 53142 Phone: 262-948-7000 | |
Dr. Vincent M Rizzo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7080 Fax: 262-948-6818 |