DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. WILLIAM THOMAS KVASNICKA P.A.-C

MEDICARE: MR. WILLIAM THOMAS KVASNICKA P.A.-C
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
1363AM0700XMedical Physician Assistant085.004850IL

General Provider Information

NPI Number : 1801225024
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM THOMAS KVASNICKA P.A.-C
Provider Business Mailing Address
First Line : 5159 S ASHLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60609-4931
Country : US
Telephone Number : 773-434-9216
Fax Number : 773-434-2670
Provider Business Practice Location Address
First Line : 5159 S ASHLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60609-4931
Country : US
Telephone Number : 773-434-9216
Fax Number : 773-434-2670
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2013
Last Update Date : 11/07/2013

Similar Medicare Providers

1073697934 — KALPANA SINGH MD
Practice Location Address:
5159 S ASHLAND AVE
CHICAGO, IL
60609-4931
Practice Phone: 773-434-9216
Practice Fax: 773-434-2670
1043398217 — ACCESS COMMUNITY HEALTH NETWORK
Practice Location Address:
5159 S ASHLAND AVE
CHICAGO, IL
60609-4931
Practice Phone: 773-434-9216
Practice Fax: 773-434-2670
1821258724 — MYESHA JANELL BANKS M.D.
Practice Location Address:
5159 S ASHLAND AVE
CHICAGO, IL
60609-4931
Practice Phone: 773-434-9216
Practice Fax: 773-434-2670
1033651211 — REGINA THERESE DEFRANCO
Practice Location Address:
5159 S ASHLAND AVE
CHICAGO, IL
60609-4931
Practice Phone: 773-434-9216
Practice Fax:
1336636398 — MR. MOTAZ SAMIH MUSTAFA ALSHAMI MD
Practice Location Address:
5159 S ASHLAND AVE
CHICAGO, IL
60609-4931
Practice Phone: 773-434-9216
Practice Fax: 773-434-2670
1013482470 — MR. EVANS O OGEBOR RN
Practice Location Address:
5159 S ASHLAND AVE
CHICAGO, IL
60609-4931
Practice Phone: 773-434-9216
Practice Fax: 773-434-2670

Directions to “ MR. WILLIAM THOMAS KVASNICKA P.A.-C” 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.