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Organization
JUST FOR KIDS PEDIATRICS PC
Active
Organization
JUST FOR KIDS PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH MICHAEL KWIATKOWSKI DO (PHYSICIAN)
(630) 682-1130
Entity
Organization
Contact information
Practice address
200 E WILLOW AVE, SUITE 403, WHEATON, IL 60187-5449
(630) 682-1130
(630) 682-0706
Mailing address
200 E WILLOW AVE, SUITE 403, WHEATON, IL 60187-5449
(630) 682-1130
(630) 682-0706
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
5101009035
MI
208000000X
Pediatrics Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2223081
BLUE CROSS
IL
Enumeration date
08/08/2006
Last updated
08/22/2020
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