MEDICARE: DR. ROBERT J KAPICKA M.D.

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	174400000X	Specialist	036069747	IL
2	207R00000X	Internal Medicine Physician	036-069747	IL

General Provider Information

NPI Number	:	1952302465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT J KAPICKA M.D.

Provider Business Mailing Address
First Line	:	25233 NETWORK PLACE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-1252
Country	:	US
Telephone Number	:	630-390-1240
Fax Number	:	630-390-1247

Provider Business Practice Location Address
First Line	:	1538 N. ARLINGTON HEIGHTS ROAD
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-3906
Country	:	US
Telephone Number	:	847-253-6464
Fax Number	:	847-253-6501

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	01/30/2012

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