Organization
MARK A.KIJEK MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA A BERG (OFFICE MANAGER)
(815) 942-1203
Entity
Organization
Contact information
Practice address
1802 N DIVISION ST, SUITE 303, MORRIS, IL 60450-1182
(815) 942-1203
(815) 942-1472
Mailing address
1802 N DIVISION ST, SUITE 303, MORRIS, IL 60450-1182
(815) 942-1203
(815) 942-1472
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036067399
IL
Other
Enumeration date
02/04/2008
Last updated
11/29/2011
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