MEDICARE: DR. LAWRENCE TIMOTHY KACMAR 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	207QS0010X	Sports Medicine (Family Medicine) Physician	036-091557	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	17167232	OTHER	IL	UNITED HEALTHCARE
3	0002232125	OTHER	IL	BLUECROSS/BLUESHIELD

General Provider Information

NPI Number	:	1699861682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE TIMOTHY KACMAR M.D.

Provider Business Mailing Address
First Line	:	3965 75TH ST
Second Line	:	SUITE 103
City	:	AURORA
State	:	IL
Zip	:	60504-7925
Country	:	US
Telephone Number	:	630-375-1625
Fax Number	:	630-375-1925

Provider Business Practice Location Address
First Line	:	3965 75TH ST
Second Line	:	SUITE 103
City	:	AURORA
State	:	IL
Zip	:	60504-7925
Country	:	US
Telephone Number	:	630-375-1625
Fax Number	:	630-375-1925

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

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	02/26/2014

Similar Medicare Providers

1154417160 — MRS. JACQUELINE PATRICIA SVARA APN-CNP
Practice Location Address:

3965 75TH ST , SUITE 103
AURORA, IL
60504-7925

Practice Phone: 630-375-1625
Practice Fax: 630-375-1925

1235225269 — LAWRENCE T. KACMAR M.D., S.C.
Practice Location Address:

3965 75TH ST , SUITE 103
AURORA, IL
60504-7925

Practice Phone: 630-375-1625
Practice Fax: 630-375-1925

1033303078 — SHARON V. THOMPSON PT
Practice Location Address:

3965 75TH ST , SUITE 104
AURORA, IL
60504-7925

Practice Phone: 630-236-7000
Practice Fax:

1073771424 — MS. SUE ELLEN BROWN MS
Practice Location Address:

3965 75TH ST , SUITE 104
AURORA, IL
60504-7925

Practice Phone: 630-236-7000
Practice Fax:

1336396472 — NANCY JANE GIROLAMO COTA
Practice Location Address:

3965 75TH ST
AURORA, IL
60504-7925

Practice Phone: 630-236-7000
Practice Fax:

1255567558 — LAWRENCE T. KACMAR MDSC
Practice Location Address:

3965 75TH ST , SUITE 103
AURORA, IL
60504-7925

Practice Phone: 630-375-1625
Practice Fax: 630-375-1925

Directions to “ DR. LAWRENCE TIMOTHY KACMAR M.D.” 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.