Robert Peter Kazan, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

036056516 Issued in IL

Practice address

700 E Ogden Ave Ste 106
Westmont, IL 60559

Phone

(630) 655-1229

Fax

(630) 655-0185

NPI assigned

Jul 26, 2005

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1881694552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E OGDEN AVE STE 106",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591283",
            "telephone_number": "630-655-1229",
            "fax_number": "630-655-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E OGDEN AVE STE 106",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "60559",
            "telephone_number": "630-655-1229",
            "fax_number": "630-655-0185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 E Ogden Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Westmont",
            "state": "IL",
            "postal_code": "60559",
            "country_code": "US",
            "telephone_number": "630-655-1229",
            "fax_number": "630-655-0185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAZAN",
        "first_name": "ROBERT",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036056516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juman Kanama
• Melissa Kane
• Gena Karston, LPC
• Kathryn L. Grady DDS, PC
• Laura Kavanaugh
• Tiffany Kellum
• Paul Thomas Kempf, DDS
• Kelly Kenna, LCPC
• Joseph Kennedy, DPT
• Kathryn Lynn Kennedy, DDS

• Neurological Surgery Physician in Westmont, IL
• Providers in Westmont, IL by specialty
• Neurological Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.