KENNETH M PELEHAC


Address: 5404 Foxwoods Dr, Oak Lawn, IL 60453
Phone: 7083821615

KENNETH M PELEHAC (NPI# 1487651550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487651550
Entity Type Individual
Full Name KENNETH M PELEHAC
Credential DO
Practice Address 5404 Foxwoods Dr
Oak Lawn
IL 60453
Mailing Address 5404 Foxwoods Dr
Oak Lawn
IL 60453-5073
Practice Telephone 7083821615
Practice Fax Number 8887021052
Mailing Telephone 7083821615
Mailing Fax Number 8887021052
Enumeration Date 2005-07-05
Last Update Date 2018-06-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery 036085109 IL Allopathic & Osteopathic Physicians
Y 208600000X Surgery 49770 WI Allopathic & Osteopathic Physicians
N 2086S0102X Surgery
Specialization: Surgical Critical Care
036085109 IL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
N2950 State Road 67, Lake Geneva, WI 531472655 2622450535

Office Location

Street Address 5404 FOXWOODS DR
City OAK LAWN
State IL
Zip Code 60453

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659995231 Natalia Zero Student in an Organized Health Care Education/Training Program 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 2020-05-30
1114554300 Sylvia Maria Chlebek Student in an Organized Health Care Education/Training Program Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 2020-03-26
1972066751 Amanda Mroczek Family Medicine 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 2019-04-09
1013479955 Leah Rae Prager Physician Assistant 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 2019-04-01
1659833473 Chelsea Sumida Gipson Family Medicine 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 2019-04-01
1518427418 Robert Lindgren Family Medicine 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 2019-03-25
1154886695 Stephanie Anne Comer Social Worker 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 2019-02-08
1700360070 Brian L Lee Counselor 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 2018-09-21
1679085245 International Dental of Oak Lawn Clinic/Center 9539 S Cicero Ave, Oak Lawn, IL 60453 2017-11-03
1124538301 Kavitha Rajendran Physician Assistant 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 2017-10-02
Find all providers in zip 60453

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407945207 Midwest Surgical Group Sc Surgery 4400 W 95th St Ste 413, Oak Lawn, FL 60453 2006-10-12
1174620157 Rodney Howard Thill Surgery 4500 W 95th Street, Suite 413, Oak Lawn, IL 60452 2006-09-20
1972998326 Christina Lien Surgery 4440 W 95th St, Oak Lawn, IL 60453-2600 2015-04-02
1235410796 David R. Stern Surgery 4400 W 95th St Ste 308, Oak Lawn, IL 60453-2660 2011-08-29
1407145584 Devang Jitendra Joshi Surgery 4400 W 95th St Ste 308, Oak Lawn, IL 60453-2660 2011-03-29
1720396203 Sarah D Hans Surgery 4700 W 95th St Ste 303, Oak Lawn, IL 60453-2572 2010-09-19
1073741625 Paul R Balash Surgery 4400 W 95th St Ste 413, Oak Lawn, IL 60453-2662 2009-06-22
1366688632 Thomas John Cartolano Surgery 4440 W 95th St, Oak Lawn, IL 60453-2600 2008-12-17
1245496694 Bryce Joseph Chalmar Bardezbanian Surgery 4440 W 95th St, Physician's Office Pavilion 207, Oak Lawn, IL 60453-2600 2008-08-05
1700045184 Steven Charles Schaefer Surgery 4440 W 95th St, Suite 407, Oak Lawn, IL 60453-2600 2008-06-02
Find all providers in OAK LAWN

Competitor

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City OAK LAWN
Zip Code 60453

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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