David E Kaczor in Lagrange - Pediatrics

David E Kaczor - NPI 1053491662

David E Kaczor is a Pediatrics in Lagrange, Illinois. David E Kaczor practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for David E Kaczor is 1053491662. The last update date is 2007-07-08.

David E Kaczor's current location address is 4727 Willow Springs Road, Lagrange, Illinois. You can contact this provider via phone number 7085880088 and fax number 7085880588. The mailing address for David E Kaczor is 4727 Willow Springs Road, Lagrange, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name David E Kaczor
Address 4727 Willow Springs Road, Lagrange, Illinois
Phone Number 7085880088
Fax Number 7085880588
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1053491662
Provider Enumeration Date 2006-10-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4727 Willow Springs Road
City Lagrange
State Illinois (IL)
Post Code 60525
Phone Number 7085880088
Fax Number 7085880588

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1632115 IL BLUE SHIELD

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FAQs about David E Kaczor

What is the unique identifier code issued to David E Kaczor by the Centers for Medicare & Medicaid Services (CMS)?

The David E Kaczor has been assigned the NPI (National Provider Identifier) 1053491662. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the David E Kaczor located?

The David E Kaczor is located at 4727 Willow Springs Road, Lagrange, IL 60525.

What is David E Kaczor's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for David E Kaczor is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.

When was the David E Kaczor's 1053491662 issued?

The David E Kaczor's 1053491662 was issued on 2006-10-17.

As of what date was the information regarding David E Kaczor, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to David E Kaczor, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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