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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