Kenneth Craig Micetich, MD
Kenneth Craig Micetich, MD is a Hematology & Oncology Physician in Maywood, Illinois. Licensed in Illinois. Registered with an NPI since 2005.
- Licensed in
- IL
- In the registry since
- 2005
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2160 S 1st Ave (15750 Marion Dr Homer Glen Il 60491)Maywood, IL 60153-3328
Phone: (708) 645-3400
Fax: (708) 645-3411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Hematology & Oncology Physician (primary) | Taxonomy 207RH0003X · Licence 36056032 (IL) |
|---|
Record details
| NPI number | 1619954583 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | December 30, 2005 |
| Last updated in NPPES | January 6, 2010 |
| Mailing address | 2160 S 1st Ave, 15750 Marion Dr., Homer Glen, Il. 60491), Maywood, IL 60153-3328 |
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