Search › Illinois › 207R00000X
Alexander Kmicikewycz, MD
NPI 1710097779 · on the registry since 2006 · sole proprietor
Practice
- Address
- 12622 South Harlem Avenue
Palos Heights, IL 60463 - Phone
- (708) 923-9610
- Fax
- (708) 923-9613
- Organisation at this address
- Alexander W. Kmicikewycz,Md
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois