Dr Laurel I Kietzman, MD | |
515 Irving St, Wheaton, IL 60187 | |
(630) 752-5072 | |
Not Available |
Full Name | Dr Laurel I Kietzman |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 38 Years |
Location | 515 Irving St, Wheaton, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336331222 | NPI | - | NPPES |
036119129 | Other | IL | STATE OF ILLINOIS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036119129 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Presence Mercy Medical Center | Aurora, IL | Hospital |
Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
Baptist Medical Center | San antonio, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cepamerica Illinois Llp | 3274793633 | 407 |
Methodist Medical Center Of Illinois | 1355259714 | 270 |
Trinity Medical Center | 2264337518 | 93 |
Entity Name | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
Entity Name | Trinity Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568414134 PECOS PAC ID: 2264337518 Enrollment ID: O20031203000016 |
Entity Name | Cgh Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902854623 PECOS PAC ID: 6103723267 Enrollment ID: O20031217000054 |
Entity Name | Valley Emergency Care Management, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841395092 PECOS PAC ID: 1850387713 Enrollment ID: O20040424000146 |
Entity Name | Cepamerica Illinois Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
Entity Name | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265966048 PECOS PAC ID: 1355259714 Enrollment ID: O20170828003194 |
Mailing Address | Practice Location Address |
---|---|
Dr Laurel I Kietzman, MD 515 Irving St, Wheaton, IL 60187 Ph: (630) 752-5072 | Dr Laurel I Kietzman, MD 515 Irving St, Wheaton, IL 60187 Ph: (630) 752-5072 |
Ankur Arora Dhawan, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1541 Sandhurst Ct, Unit #c, Wheaton, IL 60189 Phone: 630-464-1979 | |
John Vasko, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 E Lincoln Ave, Wheaton, IL 60187 Phone: 630-525-0050 | |
Hemamaheswari Govindarajan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Blanchard Cir Ste 102, Wheaton, IL 60189 Phone: 630-682-0500 Fax: 630-682-1078 | |
Dr. Maria Ilic, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Blanchard Cir Ste 102, Wheaton, IL 60189 Phone: 630-682-0500 |