Individual
DR. KEVIN R PARCIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-0535
Mailing address
29624 NETWORK PL, CHICAGO, IL 60673-1296
(262) 245-0535
(262) 245-2248
Taxonomy
Speciality
Code
Description
License number
State
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
036-105910
IL
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
48315
WI
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
—
IL
261QU0200X
Urgent Care Clinic/Center
036-105910
IL
261QU0200X
Urgent Care Clinic/Center
48315
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105910 2
—
IL
05
—
34807200
—
WI
Enumeration date
12/12/2006
Last updated
05/14/2026
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