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Kathryn Elizabeth Niemeyer

Radiology

Allopathic & Osteopathic Physicians

2160 S 1st Ave, Radiology Department, Maywood, IL 60153-3328

PECOS Enrollment

This provider is enrolled in PECOS as KATHRYN NIEMEYER.

Based on the most recent information from CMS, provider Kathryn Elizabeth Niemeyer is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 7 days ago.

Profile Details

Provider ID
1649567330
Provider Type
Individual
Full Name
Niemeyer, Kathryn Elizabeth
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/1/2011
Last Updated
7/30/2012

Contact Information

Practice Location

2160 S 1st Ave, Radiology Department, Maywood, IL 60153-3328

(708) 216-1084

Unlisted Fax

Mailing Location

2160 S 1st Ave, Radiology Department, Maywood, IL 60153-3328

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 2011018966 Missouri

Kathryn Elizabeth Niemeyer

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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