NPIMap

Individual provider Active NPI

Miloslava Marie Kyncl, MD

  • Internal Medicine Physician
  • Waukegan, IL
National Provider Identifier
1245223734
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Practice address
700 S Lewis Ave
Suite 210
Waukegan, IL 60085-6100
Phone
(847) 662-7788
Fax
(847) 662-7817
NPI assigned
Aug 30, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IL Primary

Addresses

Primary practice location

700 S Lewis Ave
Suite 210
Waukegan, IL 60085-6100

Mailing address

700 S Lewis Ave
Suite 210
Waukegan, IL 60085-6100
Phone (847) 662-7788

Other names 1

  • Mila Marie Kyncl Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110124000424 IL Practitioner - Internal Medicine 9830378843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1959
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mila-Marie Kyncl, MD, SCGroup PAC ID 8921287939, 2 clinicians

Practice addresses (Care Compare)

700 S Lewis Ave
Suite 210
Waukegan, IL 60085-6173
Phone (847) 662-7788

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036054385ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mila-Marie Kyncl, MD, SC Internal Medicine CurrentSince Sep 29, 2010 Accepting new patients

Locations

700 S Lewis Ave
Ste 210
Waukegan, IL 60085
Phone (847) 662-7788

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245223734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S LEWIS AVE",
            "address_2": "SUITE 210",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600856100",
            "telephone_number": "847-662-7788",
            "fax_number": "847-662-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S LEWIS AVE",
            "address_2": "SUITE 210",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600856100",
            "telephone_number": "847-662-7788",
            "fax_number": "847-662-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYNCL",
        "first_name": "MILOSLAVA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MILA",
            "last_name": "KYNCL",
            "middle_name": "MARIE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waukegan, IL

Sources for this page

Verify at the official NPI Registry.