Kelly A Holtkamp, MD | |
650 S Randall Rd, Algonquin, IL 60102-5944 | |
(815) 398-9491 | |
(815) 381-7498 |
Full Name | Kelly A Holtkamp |
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Gender | Female |
Speciality | Orthopaedic Surgery |
Location | 650 S Randall Rd, Algonquin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386625580 | NPI | - | NPPES |
036106560 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XS0106X | Orthopaedic Surgery - Hand Surgery | 036106560 (Illinois) | Secondary |
207X00000X | Orthopaedic Surgery | 036106560 (Illinois) | Primary |
Entity Name | Orthomidwest Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730136474 PECOS PAC ID: 0749183713 Enrollment ID: O20040128000533 |
Mailing Address | Practice Location Address |
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Kelly A Holtkamp, MD Box 78534, Milwaukee, IL 53278-8534 Ph: (815) 398-9491 | Kelly A Holtkamp, MD 650 S Randall Rd, Algonquin, IL 60102-5944 Ph: (815) 398-9491 |
Rolando Izquierdo Jr., M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 650 S Randall Rd, Algonquin, IL 60102 Phone: 815-398-9491 Fax: 815-381-7498 | |
Dr. Shawn W Palmer, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 650 S Randall Rd, Algonquin, IL 60102 Phone: 815-398-9491 Fax: 815-381-7498 | |
Cort Daniel Lawton, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 650 S Randall Rd, Algonquin, IL 60102 Phone: 815-398-9491 Fax: 815-381-7498 | |
John L Daniels, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 650 S Randall Rd, Algonquin, IL 60102 Phone: 815-398-9491 Fax: 815-381-7498 | |
Frank C. Bohnenkamp, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 650 S Randall Rd, Algonquin, IL 60102 Phone: 815-398-9491 Fax: 815-381-7498 | |
Steven M Rochell, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 650 S Randall Rd, Algonquin, IL 60102 Phone: 815-398-9491 Fax: 815-381-7498 |