Active NPI
Kecala & Kecala SC
- Internal Medicine Physician
- Elmhurst, IL
National Provider Identifier
1154555977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036067696
- Legal business name
- KECALA & KECALA SC
- Practice address
- 533 W North Ave
Ste 206
Elmhurst, IL 60126-2135 - Phone
- (630) 279-3222
- Fax
- (630) 279-3230
- NPI assigned
- May 7, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Zenon L Kecala, MD
- Title
- Owner/Provider
- Phone
- (630) 279-3222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036067696 | IL | Primary |
Addresses
Primary practice location
533 W North Ave
Ste 206
Elmhurst, IL 60126-2135
Mailing address
533 W North Ave
Ste 206
Elmhurst, IL 60126-2135
Phone (630) 279-3222
National Provider Directory
National Provider DirectoryLocations
533 W North Ave
Ste 206
Elmhurst, IL 60126
Phone (630) 279-3222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278979200000",
"number": "1154555977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 W NORTH AVE",
"address_2": "STE 206",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262135",
"telephone_number": "630-279-3222",
"fax_number": "630-279-3230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 W NORTH AVE",
"address_2": "STE 206",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262135",
"telephone_number": "630-279-3222",
"fax_number": "630-279-3230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KECALA & KECALA SC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-07",
"last_updated": "2010-07-13",
"status": "A",
"authorized_official_last_name": "KECALA",
"authorized_official_first_name": "ZENON",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "630-279-3222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "036067696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.