Kicsak, Kathleen

Kicsak, Kathleen is an individual health care provider with primary practice located at 1801 S Highland Ave Ste 130, Lombard IL 60148-4932. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Kicsak, Kathleen can be contacted via phone (630) 627-4722.

Contact Information

Primary practice address
1801 S Highland Ave Ste 130 Lombard IL 60148-4932
Phone: (630) 627-4722
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036090573 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036090573 Illinois

Profile Details

NPI number 1235105396
LBN Legal business name Kicsak, Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Aug 9th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235105396 NPPES
Illinois MEDICAID 036090573

Popular Providers