| David E Kaczor, MD | |
|
4727 Willow Springs Road, Lagrange, IL 60525 | |
| (708) 588-0088 | |
| (708) 588-0588 |
| Full Name | David E Kaczor |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 4727 Willow Springs Road, Lagrange, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053491662 | NPI | - | NPPES |
| 01632115 | Other | IL | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| David E Kaczor, MD 4727 Willow Springs Road, Lagrange, IL 60525 Ph: (708) 588-0088 | David E Kaczor, MD 4727 Willow Springs Road, Lagrange, IL 60525 Ph: (708) 588-0088 |
Mark C Matray, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4727 Willow Springs Rd, Lagrange, IL 60525 Phone: 708-588-0088 Fax: 708-588-0588 | |
Julie Christine Tumma, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4727 Willow Springs Road, Lagrange, IL 60525 Phone: 708-588-0088 Fax: 708-588-0588 | |
Jean L Corte, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4727 Willow Springs Road, Lagrange, IL 60525 Phone: 708-588-0088 Fax: 708-588-0588 |