| Dr Mark A Kijek, MD SC | |
|
1802 N Division St, Suite 303, Morris, IL 60450-1182 | |
| (815) 942-1203 | |
| (815) 942-1472 |
| Full Name | Dr Mark A Kijek |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1802 N Division St, Morris, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659336519 | NPI | - | NPPES |
| 0360673991 | Medicaid | IL | |
| 3200046 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036067399 (Illinois) | Primary |
| Entity Name | Mark A.kijek Md Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790963544 PECOS PAC ID: 3971680315 Enrollment ID: O20080409000242 |
| Entity Name | Obhg Illinois Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700107216 PECOS PAC ID: 7810179702 Enrollment ID: O20110314001065 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark A Kijek, MD SC 1802 N Division St, Suite 303, Morris, IL 60450-1182 Ph: (815) 942-1203 | Dr Mark A Kijek, MD SC 1802 N Division St, Suite 303, Morris, IL 60450-1182 Ph: (815) 942-1203 |
Thomas M Kazmierczak Jr., DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 936 W Us Route 6, Morris, IL 60450 Phone: 815-942-0525 Fax: 815-942-3501 | |
Mrs. Leticia R. Setrini-best, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 237 W Waverly St, Morris, IL 60450 Phone: 815-941-0441 Fax: 815-941-0472 | |
Dr. Andrea L Chen, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 237 W Waverly St, Morris, IL 60450 Phone: 815-941-0441 | |
Dr. Victoria A Ochoa, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 237 W Waverly St, Morris, IL 60450 Phone: 815-941-0441 | |
John B. Roth Jr., M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 107 W Jefferson St, Morris, IL 60450 Phone: 815-942-0683 | |
Peter P Vienne Jr., DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 936 W Us Route 6, Morris, IL 60450 Phone: 815-942-0525 Fax: 815-942-3501 | |
Mary M Fitzgibbon, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 237 W Waverly St, Morris, IL 60450 Phone: 815-941-0441 Fax: 815-941-0472 |