| Wk Arthritis Care | |
|
5201 S. Willow Springs Road Suite 450 La Grange IL 60525 | |
| (716) 346-7645 | |
| Not Available |
| Full Name | Wk Arthritis Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 5201 S. Willow Springs Road, La Grange, Illinois |
| Authorized Official Name and Position | William Kcomt (OWNER) |
| Authorized Official Contact | 7163467645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wk Arthritis Care 1616 E 56th St Unit 707 Chicago IL 60637-2706 Ph: (716) 346-7645 | Wk Arthritis Care 5201 S. Willow Springs Road Suite 450 La Grange IL 60525 Ph: (716) 346-7645 |
| NPI Number | 1043793441 |
|---|---|
| Provider Enumeration Date | 09/11/2018 |
| Last Update Date | 09/17/2018 |
| Medicare PECOS PAC ID | 5294089967 |
|---|---|
| Medicare Enrollment ID | O20181115000978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043793441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | (* (Not Available)) | Primary |
| Provider Name | William Antonio Kcomt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710989587 PECOS PAC ID: 1456323443 Enrollment ID: I20150904002420 |
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