Mila-marie Kyncl, Md, Sc | |
700 S Lewis Ave Suite 210 Waukegan IL 60085-6100 | |
(847) 662-7788 | |
(847) 662-7817 |
Full Name | Mila-marie Kyncl, Md, Sc |
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Speciality | Internal Medicine |
Location | 700 S Lewis Ave, Waukegan, Illinois |
Authorized Official Name and Position | Victoria J Mathias (OFFICE MANAGER) |
Authorized Official Contact | 8476627788 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mila-marie Kyncl, Md, Sc 700 S Lewis Ave Suite 210 Waukegan IL 60085-6100 Ph: (847) 662-7788 | Mila-marie Kyncl, Md, Sc 700 S Lewis Ave Suite 210 Waukegan IL 60085-6100 Ph: (847) 662-7788 |
NPI Number | 1386812428 |
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Provider Enumeration Date | 02/12/2008 |
Last Update Date | 02/12/2008 |
Medicare PECOS PAC ID | 8921287939 |
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Medicare Enrollment ID | O20110124000392 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386812428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Illinois) | Primary |
Provider Name | John A Kyncl |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023001518 PECOS PAC ID: 5597784397 Enrollment ID: I20101008000347 |
Provider Name | Miloslava Marie Kyncl |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245223734 PECOS PAC ID: 9830378843 Enrollment ID: I20110124000424 |
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