Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexander Wolodymyr Kmicikewycz, MD

Individual provider Internal Medicine Physician · NPI 1710097779

Alexander Wolodymyr Kmicikewycz, MD is an Internal Medicine in Palos Heights, Illinois. Graduated from R Franklin University of Med & SCI/Chicago Medical School in 1981, 45 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
45
Trained at
R Franklin University of Med & SCI/Chicago Medical School
Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12622 S Harlem Ave
Palos Heights, IL 60463-1428
Phone: (708) 923-9610
Fax: (708) 923-9613
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036064794 (IL)

Record details

NPI number1710097779
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 30, 2006
Last updated in NPPESDecember 29, 2021
Certification dateDecember 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolR FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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