<Unavail>

LBN: K C A S Ent Inc.
<Unavail> is an health care organization with primary practice located at 706 N Taylor St , Marengo IL 60152-2457. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as the primary health care specialty. K C A S Ent Inc. can be contacted via phone (815) 568-0243, or through Ludwikowski, Kathleen L via phone (815) 568-0243.

Contact Information

Primary practice address
706 N Taylor St Marengo IL 60152-2457
Phone: (815) 568-0243
Fax: (815) 568-5350
Website:
Map and Directions
Authorized official contact:
Name: Ludwikowski, Kathleen L Advanced Practice Nurse (APN)
Phone: (815) 568-0243

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209000890 Illinois

Profile Details

NPI number 1659373132
LBN Legal business name K C A S Ent Inc.
DBA Doing business as <Unavail>
Authorized official Ludwikowski, Kathleen L Advanced Practice Nurse (APN)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2005
Last updated Nov 24th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659373132 NPPES
Illinois MEDICAID 341407830001

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