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LAWRENCE T. KACMAR M.D. S.C. NPI 1235225269


NPI Information

NPI: 1235225269
Provider Name: LAWRENCE T. KACMAR M.D., S.C.

Doing Business As: THE CENTER FOR PRIMARY CARE & SPORTS MEDICINE

Classification: Family Medicine - 207QS0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
3965 75TH ST
SUITE 103
AURORA, IL
ZIP 60504
Phone: (630) 375-1625
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LAWRENCE T. KACMAR M.D., S.C. is a sports medicine family medicine in Aurora, IL. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. LAWRENCE T. KACMAR M.D., S.C. NPI is 1235225269. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Center For Primary Care & Sports Medicine.

The provider's business location address is:

3965 75TH ST
SUITE 103
AURORA, IL
ZIP 60504-925
Phone: (630) 375-1625
Fax: (630) 375-1925

The provider's authorized official is Margaret M Cooley .
The authorized official title is Office Manager and has the following contact phone number (630) 375-1625.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 7/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QS0010XFamily MedicineSports MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102232125OTHERILLINOISBLUE CROSS BLUE SHIELD ILLINOIS
2036091557MEDICAIDILLINOIS
3202522MEDICARE PINILLINOIS
40005442619OTHERILLINOISAETNA
5G53040MEDICARE UPINILLINOIS
61767232OTHERILLINOISUNITED HEALTHCARE
71903680OTHERILLINOISCIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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