Dr Jennifer Kirsten Kirk, MD is a
Surgery physician based in Carol Stream, Illinois. Dr Jennifer Kirsten Kirk is licensed to practice in Illinois (license number 036090372) and her current practice location is 630 E North Ave, Carol Stream, Illinois. She can be reached at her office (for appointments etc.) via phone at
(630) 458-5300.
NPI number for Dr Jennifer Kirsten Kirk is 1679564397 and her current mailing address is 630 E North Ave, Carol Stream, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679564397.
Physician's Profile
Full Name | Dr Jennifer Kirsten Kirk |
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Gender | Female |
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Speciality | Surgery |
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Location | 630 E North Ave, Carol Stream, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679564397
- Provider Enumeration Date: 11/02/2005
- Last Update Date: 03/11/2019
Medical Identifiers
Medical identifiers for Dr Jennifer Kirsten Kirk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679564397 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 036090372 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jennifer Kirsten Kirk is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jennifer Kirsten Kirk, MD 630 E North Ave, Carol Stream, IL 60188-2127 Ph: () - | Dr Jennifer Kirsten Kirk, MD 630 E North Ave, Carol Stream, IL 60188-2127 Ph: (630) 458-5300 |
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