K C A S ENT INC. NPI 1659373132

NPI Information

  • NPI: 1659373132
  • Provider Name: K C A S ENT INC.
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Organization
  • Doing Business As: CHILD ASSESSMENT/FAMILY CARE
  • Address: 706 N TAYLOR ST
    MARENGO, IL
    ZIP 60152
  • Phone: (815) 568-0243

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NPI Details

K C A S ENT INC. is a pediatrics nurse practitioner in Marengo, IL. K C A S ENT INC. NPI is 1659373132. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Child Assessment/family Care.

The provider's business location address is:

706 N TAYLOR ST
MARENGO, IL
ZIP 60152-457
Phone: (815) 568-0243
Fax: (815) 568-5350

The provider's authorized official is Kathleen L Ludwikowski .
The authorized official title is Advanced Practice Nurse Practitione and has the following contact phone number (815) 568-0243.

The enumeration date for this NPI number is 8/13/2005 and was last updated on 11/24/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatrics209000890ILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1341407830001MEDICAIDILLINOIS
2210763MEDICARE UPINILLINOIS

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: 11/21/2025

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