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KISHWAUKEE PHYSICIAN GROUP, INC.
NPI 1679933139
Durable Medical Equipment & Medical Supplies in Sycamore, IL

Active since February 26, 2016
1850 GATEWAY DR, SYCAMORE, IL 60178(815) 758-8671 Get Directions Write a Review

NPPES record last updated: April 13, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2018, Feb 26, 2016 (2 updates tracked since 2016).

About Kishwaukee Physician Group, Inc. NPPES

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

KISHWAUKEE PHYSICIAN GROUP, INC. (NPI 1679933139) is a healthcare organization registered as a durable medical equipment & medical supplies in Sycamore, Illinois and active in the NPI registry since February 2016. The organization lists Christine Zydek, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1679933139
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameKISHWAUKEE PHYSICIAN GROUP, INC.
Location Address1850 GATEWAY DRSycamore, IL 60178-3192
Mailing AddressPo Box 487Dekalb, IL 60115-0487 · (815) 758-8671
Phone(815) 758-8671
Organization SubpartNo
Authorized OfficialChristine ZydekDirector Of Finance · (815) 748-2986
Enumeration DateFebruary 26, 2016
Last NPPES UpdateApril 13, 20182 updates tracked since enumeration
✔ NPI 1679933139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1850 GATEWAY DR, Sycamore, IL 60178
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASRA F KHAN MD
Family Medicine
1850 GATEWAY DR
SYCAMORE, IL 60178
Dekalb County (815) 217-3252
CARRIE L KOPALA PA-C
Physician Assistant
1850 GATEWAY DR
SYCAMORE, IL 60178
Dekalb County (815) 766-9901
MUJAHID MOHAMMAD HUSSAIN M.D.
Internal Medicine (Pulmonary Disease)
1850 GATEWAY DR
SYCAMORE, IL 60178
Dekalb County (815) 756-1521
DR. INDERJIT KAUR GILL M.D.
Dermatology
1850 GATEWAY DR
SYCAMORE, IL 60178
Dekalb County (815) 758-8671
JENNIFER TARVESTAD FNP-BC
Nurse Practitioner
1850 GATEWAY DR
SYCAMORE, IL 60178
Dekalb County (815) 758-8671
SUZANNE COOK M.D.
Pediatrics
1850 GATEWAY DR
SYCAMORE, IL 60178
Dekalb County (815) 758-8671
PETER BAUM M.D.
Allergy & Immunology (Allergy)
1850 GATEWAY DR
SYCAMORE, IL 60178
Dekalb County (815) 758-8671
MRS. JAMIE GIBSON APN, NP-C
Nurse Practitioner
1850 GATEWAY DR
SYCAMORE, IL 60178
Dekalb County (815) 758-8671

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 Kishwaukee Physician Group, Inc.'s NPI number?

The NPI number for Kishwaukee Physician Group, Inc. is 1679933139. It was assigned to this organization in the NPPES registry on February 26, 2016.

Where is Kishwaukee Physician Group, Inc. located?

Kishwaukee Physician Group, Inc. is located at 1850 Gateway Dr, Sycamore, IL 60178. The listed phone number is (815) 758-8671.

What is Kishwaukee Physician Group, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Kishwaukee Physician Group, Inc. was last updated on April 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.