Kent A Kirk (NPI# 1154340941, PAC ID# 2769382969) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1154340941 |
| PAC ID by PECOS | 2769382969 |
| Professional Enrollment ID | I20101115001121 |
| Full Name | Kent A Kirk |
| Organization Legal Name | KIRK EYE CENTER SC |
| Address |
7427 Lake St River Forest IL 60305-1817 |
| Phone Number | 7087713334 |
| Gender | M |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1985 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 2769527118 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 151305 | PULASKI MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8514 Broadway, Merrillville, IN 46410-7032 | 7087713334 | KIRK EYE CENTER SC |
| 7427 Lake St, River Forest, IL 60305-1817 | 7087713334 | KIRK EYE CENTER SC |
| 540 Hospital Dr, Winamac, IN 46996-1173 | 5749462104 | KIRK EYE CENTER SC |
| Organization Legal Name | KIRK EYE CENTER SC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carter Nelson Kirk | Ophthalmology | Kirk Eye Center Sc | 3477 Grand Ave, Gurnee, IL 60031-3734 |
| Dean A Bauer | Optometry | Kirk Eye Center Sc | 7427 Lake St, River Forest, IL 60305-1817 |
| Scott H Kirk | Ophthalmology | Kirk Eye Center Sc | 3477 Grand Ave, Gurnee, IL 60031-3734 |
| Walter I Fried | Ophthalmology | Kirk Eye Center Sc | 3477 Grand Ave, Gurnee, IL 60031-3734 |
| Street Address |
7427 LAKE ST |
| City | RIVER FOREST |
| State | IL |
| Zip | 60305-1817 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dean A Bauer | Optometry | Kirk Eye Center Sc | 7427 Lake St, River Forest, IL 60305-1817 |
| Jamie T Gunder | Certified Registered Nurse Anesthetist (crna) | River Forest Surgery Center, LLC | 7427 Lake St, River Forest, IL 60305-1817 |
| Kenneth Strickland | Certified Registered Nurse Anesthetist (crna) | River Forest Surgery Center, LLC | 7427 Lake St, River Forest, IL 60305-1817 |
| Chava S Landau | Certified Registered Nurse Anesthetist (crna) | River Forest Surgery Center, LLC | 7427 Lake St, River Forest, IL 60305-1817 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa S Mckenzie | Internal Medicine | 7605 /2 N Ave, River Forest, IL 60305-1133 | |
| Terrie L Weir | Internal Medicine | 7605 /2 N Ave, River Forest, IL 60305-1133 | |
| Christopher D Frame | Optometry | 7369 N Ave, River Forest, IL 60305-1230 | |
| Doreen I King | Chiropractic | 7363 N Ave, River Forest, IL 60305-1230 | |
| Carlissa Richards Hughes | Psychologist, Clinical | 605 Keystone Ave, River Forest, IL 60305-1613 | |
| Dennis H Ireland | Optometry | 7777 Lake St, Suite 111, River Forest, IL 60305-1734 | |
| Edward E Lisberg | Allergy/immunology | 7420 Central, River Forest, IL 60305-1800 | |
| Fred M Tomera Jr. | Urology | 7579 Lake St, River Forest, IL 60305-1846 | |
| Mark M Tomera | General Surgery | 7579 W Lake Steeet, River Forest, IL 60305-1846 | |
| Erin Davis | Clinical Social Worker | Chicago Christian Counseling Center Inc | 400 Lathrop Ave, Suite Ll95, River Forest, IL 60305-1875 |
| Find all physicians in zip 60305 | |||
| City | RIVER FOREST |
| Zip Code | 60305 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | RIVER FOREST + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Kent A Kirk.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.