Just for Kids Pediatrics PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

JUST FOR KIDS PEDIATRICS PC

Practice address

200 E Willow Ave
Suite 403
Wheaton, IL 60187-5449

Phone

(630) 682-1130

Fax

(630) 682-0706

NPI assigned

Aug 8, 2006

Last updated

Aug 22, 2020By 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

Dr. Kenneth Michael Kwiatkowski, DO

Title

Physician

Phone

(630) 682-1130

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821008657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E WILLOW AVE",
            "address_2": "SUITE 403",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875449",
            "telephone_number": "630-682-1130",
            "fax_number": "630-682-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E WILLOW AVE",
            "address_2": "SUITE 403",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875449",
            "telephone_number": "630-682-1130",
            "fax_number": "630-682-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST FOR KIDS PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KWIATKOWSKI",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "630-682-1130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101009035",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2223081",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Lea Joynes, LCPC
• Dorota Jozwiak, PHARMD
• Julie L. Logan D.C, P.C.
• Jane Jung, PSYD
• Alyssa Jurkus
• Muath Kabuka
• Tara A Kacmarcik, PSY.D.
• Amy Lee Kaczor, RDN
• Bradley C. Kahle, PSYD
• Kainos Center for Ecclesial Psychology, Inc

• Pediatrics Physician in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.