MR. THOMAS GREGORY KUERBITZ PA-C NPI 1033420898

NPI Information

NPI: 1033420898
Provider Name: MR. THOMAS GREGORY KUERBITZ, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
300 N MILWAUKEE AVE STE D
LAKE VILLA, IL
ZIP 60046
Phone: (847) 356-6634
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MR. Thomas Gregory Kuerbitz, PA-C is a medical physician assistant in Lake Villa, IL. MR. Thomas Gregory Kuerbitz, PA-C NPI is 1033420898. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 N MILWAUKEE AVE STE D
LAKE VILLA, IL
ZIP 60046-563
Phone: (847) 356-6634
Fax: (847) 356-7264

The NPI 1033420898 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/27/2010 and was last updated on 9/19/2019.

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
1	363AM0700X	Physician Assistant	Medical	2725	WISCONSIN	No
2	363AM0700X	Physician Assistant	Medical	085003761	ILLINOIS	Yes

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: 5/5/2024

NPI Synchronization or Removal

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