Kenneth Craig Micetich, MD is a hematology and oncology internal medicine in Maywood, IL with 50 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Kenneth Craig Micetich, MD NPI is 1619954583. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year:1974
The provider's business location address is:
2160 S 1ST AVE
(15750 MARION DR., HOMER GLEN, IL. 60491)
MAYWOOD, IL
ZIP 60153-328
Phone: (708) 645-3400
Fax: (708) 645-3411
The NPI 1619954583 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/30/2005 and was last updated on 1/6/2010.