KISHWAUKEE PHYSICIAN GROUP INC NPI 1932480605

NPI Information

  • NPI: 1932480605
  • Provider Name: KISHWAUKEE PHYSICIAN GROUP INC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 14D0415300
  • Address: 1 KISH HOSPITAL DR
    DEKALB, IL
    ZIP 60115
  • Phone: (815) 756-1521

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NPI Details

KISHWAUKEE PHYSICIAN GROUP INC is a general practice in Dekalb, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee KISHWAUKEE PHYSICIAN GROUP INC NPI is 1932480605. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 KISH HOSPITAL DR
DEKALB, IL
ZIP 60115-602
Phone: (815) 756-1521

The provider's authorized official is Christine Zydek .
The authorized official title is Director Of Finance and has the following contact phone number (815) 748-2986.

The CLIA number assigned to this NPI record is 14D0415300 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/7/2011 and was last updated on 4/16/2018.

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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3208800000XUrologyNo
4208D00000XGeneral PracticeYes

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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