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NPI Code Detail

MEDICARE: DR. DALIUS KEDAINIS MD FACP

MEDICARE: DR. DALIUS KEDAINIS MD FACP
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
1174400000XSpecialist036114940IL
2207R00000XInternal Medicine Physician036114940IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00410109OTHERMORAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861596363
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DALIUS KEDAINIS MD FACP
Provider Business Mailing Address
First Line : PO BOX 713260
Second Line :
City : CHICAGO
State : IL
Zip : 60677-1260
Country : US
Telephone Number : 630-469-9200
Fax Number :
Provider Business Practice Location Address
First Line : 16519 S ROUTE 59 STE D
Second Line :
City : PLAINFIELD
State : IL
Zip : 60586-2606
Country : US
Telephone Number : 815-436-4208
Fax Number : 815-436-5025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 08/09/2023

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