| Warren Kammerer Md Sc | |
|
1440 Renaissance Dr Suite 200 Park Ridge IL 60068-1472 | |
| (847) 296-3442 | |
| (847) 296-3543 |
| Full Name | Warren Kammerer Md Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1440 Renaissance Dr, Park Ridge, Illinois |
| Authorized Official Name and Position | Warren Louis Kammerer (PRESIDENT) |
| Authorized Official Contact | 8472963442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Warren Kammerer Md Sc 1440 Renaissance Dr Suite 200 Park Ridge IL 60068-1472 Ph: (847) 296-3442 | Warren Kammerer Md Sc 1440 Renaissance Dr Suite 200 Park Ridge IL 60068-1472 Ph: (847) 296-3442 |
| NPI Number | 1578725479 |
|---|---|
| Provider Enumeration Date | 07/01/2008 |
| Last Update Date | 07/01/2008 |
| Medicare PECOS PAC ID | 8527135383 |
|---|---|
| Medicare Enrollment ID | O20080919000099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578725479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0015X | Psychiatry & Neurology - Psychosomatic Medicine | 036077883 (Illinois) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036077883 (Illinois) | Primary |
| Provider Name | Warren L Kammerer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134236565 PECOS PAC ID: 2365519220 Enrollment ID: I20080919000075 |
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