| Dr Mark Kevin Kirkwood, DO | |
|
12935 Gregory St, Emergency Department, Blue Island, IL 60406-2428 | |
| (708) 597-2000 | |
| Not Available |
| Full Name | Dr Mark Kevin Kirkwood |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 12935 Gregory St, Blue Island, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609142520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036.141200 (Illinois) | Primary |
| 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 | Illinois Emergency Medicine Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003150962 PECOS PAC ID: 6103071808 Enrollment ID: O20130304000132 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Kevin Kirkwood, DO 12935 Gregory St, Blue Island, IL 60406-2428 Ph: (708) 597-2000 | Dr Mark Kevin Kirkwood, DO 12935 Gregory St, Emergency Department, Blue Island, IL 60406-2428 Ph: (708) 597-2000 |
Dr. Jeffrey Bzdusek, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-597-2000 Fax: 708-824-4494 | |
Daniel R Kowalzyk, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12935 S. Gregory St., Blue Island, IL 60406 Phone: 708-597-2000 Fax: 708-824-4494 | |
Darryl J. Fleishman, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-597-2000 | |
Anthony Kelly Goldboss, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-597-2000 Fax: 708-824-4516 | |
Kathryn A. Craig, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-587-2000 Fax: 630-941-4333 | |
Dr. Faheem M Jesani, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-597-2000 | |
Dr. Whitney Michelle Dawson, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-597-2000 |