DR. KIMBERLY R KRUCZEK


Address: 19550 Governors Hwy, Suite 3300, Flossmoor, IL 60422-2125
Phone: 7089158660

DR. KIMBERLY R KRUCZEK (NPI# 1346569563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346569563
Entity Type Individual
Full Name DR. KIMBERLY R KRUCZEK
Credential D.O
Practice Address 19550 Governors Hwy
Suite 3300
Flossmoor
IL 60422-2125
Mailing Address 27702 Network Pl
Chicago
IL 60673-1277
Practice Telephone 7089158660
Practice Fax Number 7089575919
Mailing Telephone 7088627674
Mailing Fax Number 7088621781
Enumeration Date 2010-05-27
Last Update Date 2016-04-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
036.131755 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 19550 GOVERNORS HWY
SUITE 3300
City FLOSSMOOR
State IL
Zip Code 60422-2125

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760481287 Vasantha J Sastry Obstetrics & Gynecology 19550 Governors Hwy, Suite 2300, Flossmoor, IL 60422-2125 2005-07-18
1164967261 Akilah J Townsend Physical Therapist 19550 Governors Hwy, Flossmoor, IL 60422-2125 2016-12-27
1013316835 Kimberly Kramer Dietitian, Registered 19550 Governors Hwy, Flossmoor, IL 60422-2125 2014-08-18
1467704825 Lata Pillai Physical Therapist 19550 Governors Hwy, Flossmoor, IL 60422-2125 2012-10-10
1659620870 Sandra K. Collins Physical Therapist 19550 Governors Hwy, Flossmoor, IL 60422-2125 2012-09-04
1689923070 Danielle Ruzich Physical Therapist 19550 Governors Hwy, Flossmoor, IL 60422-2125 2012-08-31
1366791899 Lynne Diane Pavlatos Physical Therapist 19550 Governors Hwy, Flossmoor, IL 60422-2125 2012-08-30
1144578469 Ronald Rivera Physical Therapist 19550 Governors Hwy, Flossmoor, IL 60422-2125 2012-08-16
1831447150 Kory D Risner Physical Therapist 19550 Governors Hwy, C/o Therapy Department, Flossmoor, IL 60422-2125 2012-08-16
1952677718 Evaldas Radzevicius P.C. Psychiatry & Neurology 19550 Governors Hwy, Suite 3700, Flossmoor, IL 60422-2125 2012-03-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588274310 Miranda Home Health Care Inc Nursing Care 19150 S. Kedzie Ave, 203, Flossmoor, IL 60422 2020-08-06
1285256172 Bp Behavioral Services, LLC Behavioral Analyst 2222 Marston Lane, Flossmoor, IL 60422 2020-05-13
1891164133 Lauren Simpson Behavioral Analyst 19530 Kezie Avenue, Flossmoor, IL 60422 2015-09-16
1437541190 Keshawn Gardner Specialist/Technologist, Other 1248 Berry Ln, Flossmoor, IL 60422 2015-03-04
1770989717 Naomi Kelly Behavioral Analyst 1930 Kedzie Avenue, Flossmoor, IL 60422 2014-11-18
1093059453 Miranda Home Health Care Inc In Home Supportive Care 19150 S Kedzie Ave, 203, Flossmoor, IL 60422 2012-11-23
1285981506 Restorative Life Services, LLC Social Worker 169624 Governors Highway, Flossmoor, IL 60422 2012-08-06
1063786457 Gwyneeda Carter-sidberry Pharmacist 1443 Selkirk Street, Flossmoor, IL 60422 2012-03-02
1053682021 Alfonso Javier Medina Sr. Anesthesiology 3141 Stonegate Ct., Flossmoor, IL 60422 2012-01-23
1912121161 Anthony J Maoloni Dentist 19815 Governors Highway, Orthodontic Associates Ltd Suite 1, Flossmoor, IL 60422 2007-04-12
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477629491 John Thomas Smallwood Internal Medicine 2448 Brookwood Dr, Flossmoor, IL 60422-1826 2006-11-28
1023243748 Danielle Renee Sterrenberg Internal Medicine 19550 Governors Hwy, Suite 3300, Flossmoor, IL 60422-2125 2009-05-26
1346427911 Medonc Ltd Internal Medicine 3703 Ballantrae Way, Flossmoor, IL 60422-4316 2008-01-26
1184819856 Lekha Babu Md Ltd Internal Medicine 3235 Vollmer Road, Flossmoor, IL 60422 2007-09-06
1174678684 Patrick L Mcginnis Internal Medicine 3235 Vollmer Rd, Suite 120, Flossmoor, IL 60422-2013 2007-01-24
1740384023 Lekha Babu Internal Medicine 3235 Vollmer Rd, Ste 126, Flossmoor, IL 60422 2006-09-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649831124 Elena Vagia Internal Medicine 233 E Superior St Ste 1-061, Chicago, IL 60611-2913 2019-06-25
1194206367 Illinois Cancer Specialists Internal Medicine 360 Station Dr Ste 201, Crystal Lake, IL 60014-7978 2018-08-27
1861986549 Quincy Physicians & Surgeons Clinic, Sc Internal Medicine 3347 Broadway St, Quincy, IL 62301 2018-06-18
1730634700 Liyun Huang Internal Medicine 17495 South La Grange Rd, Tinley Park, IL 60487 2016-08-19
1578017596 Mercy Clinic Specialists Services-illinois LLC Internal Medicine 2227 Vadalabene Dr Ste 200, Maryville, IL 62062-5824 2016-08-08
1356793319 Glenda Maria Delgado Ramos Internal Medicine 2160 S 1st Ave Ste 167, Maywood, IL 60153-3328 2016-07-01
1023403516 Meghan Rebecca Steiner Internal Medicine 5841 S Maryland Ave # Mc-2115, Chicago, IL 60637 2015-04-01
1700270154 Joseph Heng Internal Medicine 5841 S Maryland Ave # Mc1152, Chicago, IL 60637-1443 2015-03-24
1497148118 Pinal Chokshi Internal Medicine 525 E Congress Pkwy Ste 300, Crystal Lake, IL 60014-6258 2015-03-05
1770998262 Adventist Bolingbrook Hospital Internal Medicine 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 2014-06-24
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Competitor

Search similar providers

City FLOSSMOOR
Zip Code 60422

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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