Kenneth Craig Micetich MD

  • NPI 1619954583
According to our database, the NPI number for Kenneth Craig Micetich MD is 1619954583 and activated since 18 years ago. Kenneth Craig Micetich MD is an individual provider who specializes in Hematology & Oncology, and the primary practice location is 2160 S 1st Ave, Maywood, IL 60153. You can also contact Kenneth Craig Micetich MD via telephone number is (708) 645-3400. Provider NPI information was last updated on 01/06/2010.

Recently Active NPIs

Overview of Kenneth Craig Micetich MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 12/30/2005
  • Last updated: 01/06/2010

Primary Scrop of Practice

  • Taxonomy Code: 207RH0003X
  • Specialty: Hematology & Oncology
  • License Number: 36056032
  • License State: IL

Provider Mailing Address

  • Address: 2160 S 1st Ave
    (15750 Marion Dr., Homer Glen, Il. 60491)
    Maywood, IL 60153
  • Phone: 708-645-3400
  • Fax: 708-645-3411

Provider Practice Location

  • Address: 2160 S 1st Ave
    (15750 Marion Dr., Homer Glen, Il. 60491)
    Maywood, IL 60153
  • Phone: 708-645-3400
  • Fax: 708-645-3411

Scope of Practice

  • Taxonomy Code: 207RH0003X
  • Specialty: Hematology & Oncology
  • License Number: 36056032
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 36056032
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kenneth Craig Micetich MD?
  • A: The npi number for Kenneth Craig Micetich MD is 1619954583.
  • Q: What are Kenneth Craig Micetich MD's specialties?
  • A: Kenneth Craig Micetich MD's specialties are Hematology & Oncology and different specialities.
  • Q: What is the medical license for Kenneth Craig Micetich MD?
  • A: The medical license number for Kenneth Craig Micetich MD is 36056032 and issued in IL in USA.
  • Q: Where is Kenneth Craig Micetich MD practice location?
  • A: Kenneth Craig Micetich MD is practicing at 2160 S 1st Ave, Maywood, IL 60153.
  • Q: How to contact Kenneth Craig Micetich MD?
  • A: You can contact Kenneth Craig Micetich MD via 708-645-3400.