Dr. Jennifer Kirsten Kirk, MD
Surgery in Carol Stream, IL. Individual provider (NPI-1).
NPI number1679564397
StatusActive
Last updated in NPPESMar 11, 2019
Details
- NPI
- 1679564397
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jennifer Kirsten Kirk
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2005
- Last updated
- Mar 11, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 036090372 | IL | Yes |
Practice location
630 E North AveCarol Stream, IL 60188-2127
Phone 630-458-5300
Mailing address
630 E North AveCarol Stream, IL 60188-2127
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Surgery Physician providers in Carol Stream, IL
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.