Individual
DR. PETER W KAKAVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13011 S 104TH AVE STE 100, PALOS PARK, IL 60464-1508
(708) 274-3278
(708) 274-3299
Mailing address
13011 S 104TH AVE STE 100, PALOS PARK, IL 60464-1508
(708) 478-3600
(708) 478-3552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036083840
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036083840
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621208
BLUECROSS BLUESHIELD
IL
05
—
036083840
—
IL
01
—
060047092
RAILROAD MEDICARE WILL
IL
01
—
060056850
RAILROAD MEDICARE KANKAKE
IL
01
—
1508810086
HEART CARE CENTERS OF ILLINOIS GROUP NPI
IL
01
—
236550
MEDICARE GROUP
IL
01
—
236551
MEDICARE GROUP
IL
01
—
416810
MEDICARE GROUP
IL
01
—
CD8033
RAILROAD MEDICARE GROUP PTAN NUMBER
IL
01
—
CG1672
RAILROAD MEDICARE GROUP PTAN NUMBER
IL
01
—
CN2703
RAILROAD MEDICARE GROUP PTAN NUMBER
IL
Enumeration date
04/12/2006
Last updated
09/04/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us