| Kathleen Kicsak, MD | |
|
1801 S Highland Ave, Ste 130, Lombard, IL 60148-4932 | |
| (630) 627-4722 | |
| Not Available |
| Full Name | Kathleen Kicsak |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 34 Years |
| Location | 1801 S Highland Ave, Lombard, 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 |
|---|---|---|---|
| 1235105396 | NPI | - | NPPES |
| 036090573 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036090573 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 036090573 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Loyola University Medical Center | Maywood, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Du Page Medical Group Ltd | 5496667941 | 1066 |
| Entity Name | Dupage Medical Group Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Kicsak, MD Po Box 713260, Chicago, IL 60677-1260 Ph: (630) 469-9200 | Kathleen Kicsak, MD 1801 S Highland Ave, Ste 130, Lombard, IL 60148-4932 Ph: (630) 627-4722 |
Dr. Diane Gale Rapaport, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 580 Waters Edge, Suite 100, Lombard, IL 60148 Phone: 630-495-8484 Fax: 630-495-1598 | |
William T O'rourke, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 454 E Roosevelt Rd, Lombard, IL 60148 Phone: 630-387-6424 Fax: 630-387-6425 | |
Rong Shang Tu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2340 S Highland Ave, 230, Lombard, IL 60148 Phone: 630-932-2040 Fax: 866-932-1513 | |
Dhara Naik, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 454 E Roosevelt Rd, Lombard, IL 60148 Phone: 630-387-6424 Fax: 630-387-6425 | |
Dr. Nasser A Boshra, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 S Highland Ave Ste 130, Lombard, IL 60148 Phone: 630-627-4722 Fax: 630-627-9134 | |
Elaine E Spirakes, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 454 E Roosevelt Rd, Lombard, IL 60148 Phone: 630-387-6424 Fax: 630-387-6425 | |
Shawn George, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 E. 22nd Street, Suite A, Lombard, IL 60148 Phone: 630-932-2055 Fax: 630-932-2059 |