Mark a.Kijek MD SC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036067399 Issued in IL

Legal business name

MARK A.KIJEK MD SC

Practice address

1802 N Division St
Suite 303
Morris, IL 60450-1182

Phone

(815) 942-1203

Fax

(815) 942-1472

NPI assigned

Feb 4, 2008

Last updated

Nov 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda A Berg

Title

Office Manager

Phone

(815) 942-1203

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barbara G Kijek, MD

  • Pediatrics Physician
  • Morris, IL
  • NPI 1508822149
  NPD (past)

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1790963544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 N DIVISION ST",
            "address_2": "SUITE 303",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501182",
            "telephone_number": "815-942-1203",
            "fax_number": "815-942-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 N DIVISION ST",
            "address_2": "SUITE 303",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501182",
            "telephone_number": "815-942-1203",
            "fax_number": "815-942-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A.KIJEK MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "815-942-1203"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036067399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Maddox
• Ashlie R Maher, OTR/L
• Christopher Jon Maier, ED.D., LPC
• Mahreen Majid, M.D.
• Angelo Marino, O. D.
• Marlene K Henze MD PC
• Donald Martin
• Taylor Mathus
• Donald Maxon, LCPC
• Paul M Mazur, C.N.P.

• Obstetrics & Gynecology Physician in Morris, IL
• Providers in Morris, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.