Kimberly A. Bialek, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085-003711 Issued in IL

Practice address

3800 Reserve Dr
Algonquin, IL 60102-6333

Phone

(847) 370-1874

NPI assigned

Apr 2, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Poplar Creek Family Practice

  • Family Medicine Physician
  • Hoffman Estates, IL
  • NPI 1376661199
  NPD (past)

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

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1942525910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 RESERVE DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601026333",
            "telephone_number": "847-370-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVE DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601026333",
            "telephone_number": "847-370-1874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 Barrington Rd",
            "address_2": "Suite 3450",
            "address_purpose": "LOCATION",
            "city": "Hoffman Estates",
            "state": "IL",
            "postal_code": "601691019",
            "country_code": "US",
            "telephone_number": "847-882-2400",
            "fax_number": "847-884-7222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 W Main St",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "601741775",
            "country_code": "US",
            "telephone_number": "630-584-9242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIALEK",
        "first_name": "KIMBERLY",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-02",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085003711",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085003711",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-003711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Lynn Bennett, PA-C
• Tania Benny
• Ellen Berry
• Joanna E Betancourt, MD
• Timothy Mark Beyer, O. D.
• Amber Nicole Bianchi, MT
• Kaja Biel, LPC
• Kirsten Faith Verploegh Binder, LMT
• Christina Joy Blodgett, PH.D.
• Alexander A Blyth

• Physician Assistant in Algonquin, IL
• Providers in Algonquin, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.