KENNETH ALLEN KUZNETSKY


Address: 5645 W Addison St, Chicago, IL 60634-4403
Phone: 7733484640

KENNETH ALLEN KUZNETSKY (NPI# 1851461289) 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) 1851461289
Entity Type Individual
Full Name KENNETH ALLEN KUZNETSKY
Credential M.D.
Practice Address 5645 W Addison St
Chicago
IL 60634-4403
Mailing Address 2253 N Geneva Ter
Chicago
IL 60614-3746
Practice Telephone 7733484640
Practice Fax Number 7737944698
Mailing Telephone 7733484640
Mailing Fax Number 7737944698
Enumeration Date 2006-11-09
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
BLUE CROSS BLUE SHIELD 31601236 01

Office Location

Street Address 5645 W ADDISON ST
City CHICAGO
State IL
Zip Code 60634-4403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306845763 Our Lady of The Resurrection Medical Center Emergency Medicine 5645 W Addison St, Chicago, IL 60634-4403 2005-07-19
1740809797 Nicholas Donald Charmelo Registered Nurse 5645 W Addison St, Chicago, IL 60634-2881 2020-04-09
1528695814 Ana Bulaja Physician Assistant 5645 W Addison St, Chicago, IL 60634-2881 2020-03-25
1669008702 Jeremy Blauser Physician Assistant 5645 W Addison St, Chicago, IL 60634-4403 2020-03-20
1598306870 Sss Pathology Services Pllc Pathology 5645 W Addison St, Chicago, IL 60634-4403 2019-10-08
1639737851 Akhter U Patel Nurse Practitioner 5645 W Addison St, Chicago, IL 60634-4403 2019-06-03
1457916124 Jaclyn Novak Physician Assistant 5645 W Addison St, Chicago, IL 60634-4403 2019-05-07
1962977421 Ashley Fisher Dietitian, Registered 5645 W Addison St, Chicago, IL 60634-4403 2018-10-10
1093211153 Brandee Joy Grenda Dietitian, Registered 5645 W Addison St, Chicago, IL 60634-4403 2018-04-05
1639687825 Amy M Boettcher Nurse Anesthetist, Certified Registered 5645 W Addison St, Chicago, IL 60634-4403 2018-01-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356987333 Alejandra Carrera Student in an Organized Health Care Education/Training Program 6417 W Irving Park Rd., Chicago, IL 60634 2019-11-25
1861977456 Virtue Counseling Center Counselor 2904 N Parkside, Chicago, IL 60634 2018-09-28
1770931255 Dynamic Transport Solutions LLC Non-emergency Medical Transport (VAN) 6109 W. Barry, Chicago, IL 60634 2016-05-25
1104284710 Ez Dental Dental Laboratory 5621 W.montrose Avenue, Chicago, IL 60634 2016-02-10
1285075432 Chicago Medical Transportation Non-emergency Medical Transport (VAN) 3033 N. Nordica Ave., Chicago, IL 60634 2013-07-16
1083985725 Maria C. Rodriguez Lactation Consultant, Non-RN 6216 W. School St., Chicago, IL 60634 2012-01-25
1295066827 Angie Harris Occupational Therapist 3339 N. Octavia, Chicago, IL 60634 2010-01-21
1205169802 Belmont Dental P.C. Dentist 5611 W. Belmont Ave., Chicago, IL 60634 2009-09-14
1568605178 Henry Biskup Radiologic Technologist 3105 N. Austin Ave., Chicago, IL 60634 2009-04-13
1306086624 Highland Park Cvs, L.L.C. Durable Medical Equipment & Medical Supplies 3615 N. Central Ave, Chicago, IL 60634 2009-02-26
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235627332 Chicago Nephrology Associates, LLC Internal Medicine 3023 N Clark St #302, Chicago, IL 60657 2018-04-25
1619328820 Nay Seif Internal Medicine 675 N Saint Clair St Ste 250, Chicago, IL 60611-5975 2016-06-29
1447611389 Skyline Medical Associates LLC Internal Medicine 100 E 14th St Apt 1907, Chicago, IL 60605-3673 2016-03-18
1972936581 Marshall David Lindheimer Internal Medicine 5807 S Dorchester Ave, 5e, Chicago, IL 60637-1729 2013-08-19
1952656167 Primecare Nephrology & Hypertension Sc Corp Internal Medicine 4810 S Kenwood Ave, Chicago, IL 60615-2016 2012-07-13
1558650697 Stephanie Michelle Toth-manikowski Internal Medicine 820 S Wood St # Mc793, Chicago, IL 60612 2011-03-29
1326372855 Daniel Fantus Internal Medicine 240 E Huron St Ste 1-200, Chicago, IL 60611-2909 2009-09-30
1487882791 Sylvester Barnes Iv Internal Medicine 900 S Clark St Apt 1801, Chicago, IL 60605 2009-06-24
1952551517 Jane Vernik Md, S.c. Internal Medicine 637 South Wood Street St 215, Division of Nephrology, Durand Building, Chicago, IL 60612 2008-09-19
1073643193 Malathi Shah Internal Medicine 1625 E 75th St Ste 328, Chicago, IL 60649-3603 2007-03-07
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City CHICAGO
Zip Code 60634

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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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