MEDICARE: DR. KENNETH N. MEYER D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry		IL

General Provider Information

NPI Number	:	1568672814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH N. MEYER D.D.S.

Provider Business Mailing Address
First Line	:	5300 W DIVERSEY AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60639-1513
Country	:	US
Telephone Number	:	733-202-1500
Fax Number	:	773-202-1697

Provider Business Practice Location Address
First Line	:	5300 W DIVERSEY AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60639-1513
Country	:	US
Telephone Number	:	733-202-1500
Fax Number	:	773-202-1697

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1487612834 — JOHN ARTHUR WILEY M.D.
Practice Location Address:

5300 W DIVERSEY AVE
CHICAGO, IL
60639-1513

Practice Phone: 773-725-0990
Practice Fax:

1265502231 — DR. BIENVENIDO TECSON LAMORENA MD
Practice Location Address:

5356 W DIVERSEY AVE
CHICAGO, IL
60639-1513

Practice Phone: 773-777-9400
Practice Fax: 773-777-6917

1871647925 — MR. PAWEL K KWIECINSKI M.D.
Practice Location Address:

5356 W DIVERSEY AVE
CHICAGO, IL
60639-1513

Practice Phone: 773-283-1881
Practice Fax: 773-283-2226

1306031885 — DRS. LAMORENA LTD
Practice Location Address:

5356 W DIVERSEY AVE
CHICAGO, IL
60639-1513

Practice Phone: 773-777-9400
Practice Fax: 773-777-6917

1124215223 — PAWEL K KWIECINSKI MD LTD
Practice Location Address:

5356 W DIVERSEY AVE
CHICAGO, IL
60639-1513

Practice Phone: 773-283-1881
Practice Fax:

1780680959 — DR. GREGORY KIM MCFARLAND JR. D.C.
Practice Location Address:

405 E CHICAGO BLVD
TECUMSEH, MI
49286-1513

Practice Phone: 517-423-2639
Practice Fax: 517-423-0639

Directions to “ DR. KENNETH N. MEYER D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.