| Kecala & Kecala Sc | |
|
533 W North Ave Ste 206 Elmhurst IL 60126-2135 | |
| (630) 279-3222 | |
| (630) 279-3230 |
| Full Name | Kecala & Kecala Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 533 W North Ave, Elmhurst, Illinois |
| Authorized Official Name and Position | Zenon L Kecala (OWNER/PROVIDER) |
| Authorized Official Contact | 6302793222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kecala & Kecala Sc 533 W North Ave Ste 206 Elmhurst IL 60126-2135 Ph: (630) 279-3222 | Kecala & Kecala Sc 533 W North Ave Ste 206 Elmhurst IL 60126-2135 Ph: (630) 279-3222 |
| NPI Number | 1154555977 |
|---|---|
| Provider Enumeration Date | 05/07/2009 |
| Last Update Date | 07/13/2010 |
| Medicare PECOS PAC ID | 1355516006 |
|---|---|
| Medicare Enrollment ID | O20111208000657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154555977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036067696 (Illinois) | Primary |
| Provider Name | Zenon L Kecala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154338895 PECOS PAC ID: 6406021054 Enrollment ID: I20111208000727 |
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