Kenneth Craig Micetich in Maywood - Hematology & Oncology
Kenneth Craig Micetich - NPI 1619954583
Kenneth Craig Micetich is a Hematology & Oncology in Maywood, Illinois. Kenneth Craig Micetich practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Kenneth Craig Micetich is 1619954583. The last update date is 2010-01-06.
Kenneth Craig Micetich's current location address is 2160 S 1st Ave, Maywood, Illinois. You can contact this provider via phone number 7086453400 and fax number 7086453411. The mailing address for Kenneth Craig Micetich is 2160 S 1st Ave, Maywood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Craig Micetich |
|---|---|
| Address | 2160 S 1st Ave, Maywood, Illinois |
| Phone Number | 7086453400 |
| Fax Number | 7086453411 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1619954583 |
|---|---|
| Provider Enumeration Date | 2005-12-30 |
| Last Updated Date | 2010-01-06 |
Provider Mailing Address Detail
| Address | 2160 S 1st Ave |
|---|---|
| City | Maywood |
| State | Illinois (IL) |
| Post Code | 601533328 |
| Phone Number | 7086453400 |
| Fax Number | 7086453411 |
Provider's Primary Taxonomy Detail
| Speciality | Hematology & Oncology |
|---|---|
| Taxonomy | 207Rh0003X |
| Licence No | 36056032 |
|
Definition: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36056032 | IL | -- |
Post Comment/ Review Below
What is the Kenneth Craig Micetich's unique identification number?
The Kenneth Craig Micetich has been assigned the NPI (National Provider Identifier) Number 1619954583 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Kenneth Craig Micetich?
The Kenneth Craig Micetich is physically situated at 2160 S 1St Ave, in the city of Maywood, state of IL, with the postal code 601533328.
What is Kenneth Craig Micetich's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kenneth Craig Micetich is Hematology & Oncology, and the corresponding taxonomy classification code for this specialized field is 207Rh0003X.
When was the Kenneth Craig Micetich's 1619954583 issued?
The Kenneth Craig Micetich's 1619954583 was issued on 2005-12-30.
When was the information related to Kenneth Craig Micetich most recently updated or refreshed?
The details pertaining to the Kenneth Craig Micetich, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-01-06.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1285637785
Address: 101 Deer Run Rd, Elgin, SC