Kyle Kallenbach, MD | |
430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | |
(630) 469-9200 | |
Not Available |
Full Name | Kyle Kallenbach |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 28 Years |
Location | 430 Pennsylvania Ave, Glen Ellyn, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477529626 | NPI | - | NPPES |
036105204 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 036105204 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dupage Medical Group Ltd | 5496667941 | 1186 |
The South Bend Clinic Llc | 3779577937 | 173 |
Entity Name | Dupage Medical Group Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535 |
Mailing Address | Practice Location Address |
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Kyle Kallenbach, MD Po Box 713260, Chicago, IL 60677-1260 Ph: (630) 469-9200 | Kyle Kallenbach, MD 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 Ph: (630) 469-9200 |
Dr. Lekshmi Nair, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave # 110, Glen Ellyn, IL 60137 Phone: 630-946-2020 | |
Mary Lyn Kurland, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200 | |
Dr. Ehsan Safari, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave, 110, Glen Ellyn, IL 60137 Phone: 630-545-7880 | |
Kimberly Klinger, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave Ste 110, Glen Ellyn, IL 60137 Phone: 630-946-2020 Fax: 630-432-6754 | |
Linda Gruener, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200 | |
Sabira Khalil, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200 |