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ALEXANDER W. KMICIKEWYCZ,MD
NPI 1134397441
Internal Medicine in Palos Heights, IL

Active since February 20, 2008CLIA 14D0878278 · Waiver
12622 S HARLEM AVE, PALOS HEIGHTS, IL 60463(708) 923-9610 Get Directions Write a Review

NPPES record last updated: February 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alexander W. Kmicikewycz,md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDER W. KMICIKEWYCZ,MD (NPI 1134397441) is a healthcare organization registered as an internal medicine in Palos Heights, Illinois and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through October 20, 2027 and lists Alexander Wolodymyr Kmicikewycz, Owner, as its authorized official.

NPPES Registry Identity

NPI1134397441
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameALEXANDER W. KMICIKEWYCZ,MD
Location Address12622 S HARLEM AVEPalos Heights, IL 60463-1428
Mailing Address12622 S Harlem AvePalos Heights, IL 60463-1428 · (708) 923-9610
Phone(708) 923-9610
Organization SubpartNo
Authorized OfficialAlexander Wolodymyr KmicikewyczOwner · (708) 923-9610
Enumeration DateFebruary 20, 2008
✔ NPI 1134397441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12622 S HARLEM AVE, Palos Heights, IL 60463
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Other Identifiers 2

Medicare UPINC47670IL
Medicare PIN749170IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0878278

Alexander W Kmicikewycz · Palos Heights, IL
Active · expires Oct 20, 2027
CLIA Number14D0878278
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2025
Certificate Expiration DateOctober 20, 2027
Laboratory DirectorAlexander W. Kmicikewycz
Laboratory Phone(708) 923-9610
Laboratory LocationAlexander W Kmicikewycz12622 S Harlem Avenue, Palos Heights, IL 60463
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexander W. Kmicikewycz,md's NPI number?

The NPI number for Alexander W. Kmicikewycz,md is 1134397441. It was assigned to this organization in the NPPES registry on February 20, 2008.

Where is Alexander W. Kmicikewycz,md located?

Alexander W. Kmicikewycz,md is located at 12622 S Harlem Ave, Palos Heights, IL 60463. The listed phone number is (708) 923-9610.

What is Alexander W. Kmicikewycz,md's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Alexander W. Kmicikewycz,md hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0878278) is associated with this NPI, valid through October 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Alexander W. Kmicikewycz,md was last updated on February 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.