Kenneth Michael Kwiatkowski, | |
1250 N Mill St, Suite 100, Naperville, IL 60563-6304 | |
(630) 355-6996 | |
(630) 355-0026 |
Full Name | Kenneth Michael Kwiatkowski |
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Gender | Male |
Speciality | Pediatrics |
Location | 1250 N Mill St, Naperville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538179361 | NPI | - | NPPES |
036070989 | Medicaid | IL | |
2223081 | Other | IL | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036070989 (Illinois) | Primary |
208000000X | Pediatrics | 5101009035 (Michigan) | Secondary |
Entity Name | Access Community Health Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982783692 PECOS PAC ID: 9537076112 Enrollment ID: O20031204000985 |
Mailing Address | Practice Location Address |
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Kenneth Michael Kwiatkowski, 1250 N Mill St Ste 100, Lower Level, Naperville, IL 60563-6305 Ph: (630) 355-6996 | Kenneth Michael Kwiatkowski, 1250 N Mill St, Suite 100, Naperville, IL 60563-6304 Ph: (630) 355-6996 |
Rajeev S Dixit, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 801 S Washington, Naperville, IL 60566 Phone: 847-991-0440 Fax: 847-991-0441 | |
Lina Bourjas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 636 Raymond Dr Ste 205, Naperville, IL 60563 Phone: 630-717-2300 | |
Mark Joseph Brinkman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 636 Raymond Drive, Suite 205, Naperville, IL 60563 Phone: 630-717-2300 Fax: 630-717-9638 | |
Dr. Chad Christopher Olsen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2712 Forgue Dr Ste 100, Naperville, IL 60564 Phone: 630-548-1100 Fax: 630-428-4211 | |
Waddah J Hashem, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1315 Macom Dr, Ste 206, Naperville, IL 60564 Phone: 630-978-7015 Fax: 630-978-7043 | |
Karolyn Diane Law, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1331 W 75th Street, Suite 300, Naperville, IL 60540 Phone: 630-355-0003 Fax: 630-355-9822 | |
Dr. Ira S. Rubin, M.D.,PHD. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1012 95th St Ste 7, Naperville, IL 60564 Phone: 630-357-1030 Fax: 630-357-8027 |