Individual provider · Type 1 NPI

Kenneth Craig Micetich, MD

Hematology & Oncology Physician · Maywood, IL

NPI number 1619954583 Active

Practice location

2160 S 1st Ave, (15750 Marion Dr., Homer Glen, Il. 60491)
Maywood, IL 60153-3328

Call (708) 645-3400 Map

Fax (708) 645-3411

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X36056032 (IL)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1619954583

Kenneth Craig Micetich, MD's National Provider Identifier is 1619954583, issued on Dec 30, 2005. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Maywood, IL. The record was last updated on Jan 6, 2010.