Mila-Marie Kyncl, MD, SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MILA-MARIE KYNCL, MD, SC

Practice address

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

Phone

(847) 662-7788

Fax

(847) 662-7817

NPI assigned

Feb 12, 2008

Organization subpart

No

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

Authorized official

Name

Victoria J Mathias

Title

Office Manager

Phone

(847) 662-7788

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Anthony Kyncl, MD

  • Internal Medicine Physician
  • Waukegan, IL
  • NPI 1023001518
  Medicare reassignment Care Compare group NPD
• Miloslava Marie Kyncl, MD

  • Internal Medicine Physician
  • Waukegan, IL
  • NPI 1245223734
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1386812428",
    "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": {
        "organization_name": "MILA-MARIE KYNCL, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "MATHIAS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-662-7788"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amanda Mikols
• Jose A Millan
• Michelle Millan
• Margaret Renee Millar, LCSW, CADC, MSW
• Alona Diane Miller
• Kaitlyn Miller

• Internal Medicine Physician in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.