David Edward Kvarnberg, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036.125485 Issued in IL

Practice address

5000 S 5TH Ave
Deptartment of Neurology, Edward Hines, Jr. VA Hospital
Hines, IL 60141-3030

Phone

(708) 202-8387

NPI assigned

Sep 27, 2005

Last updated

Jul 29, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343520000000",
    "number": "1659367365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FERDINAND AVE",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601301803",
            "telephone_number": "708-408-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S 5TH AVE",
            "address_2": "DEPTARTMENT OF NEUROLOGY, EDWARD HINES, JR. VA HOSPITAL",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601413030",
            "telephone_number": "708-202-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KVARNBERG",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2012-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036.125485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steffin Kurian
• Tripti Kurup, PHARM.D.
• Liza Kuruvilla
• Juhi Singh Kushwaha, BS, MD
• Renata Kutrzuba
• Laura Nicole Labbe, PHARM.D.
• Reginald Joseph Labossiere, MD
• Francesca Lachica
• Nathan Keve Laforte
• Lane M Lagattuta, DO

• Neurology Physician in Hines, IL
• Providers in Hines, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.