Kendra M Hall
M.D. | Pediatrics | Female
Kendra M Hall, M.D. is a Rockford, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Kendra M Hall is
3505 North Bell School Road, Rockford, Illinois - 61114. She can be contacted on phone at
779-696-0300.
Kendra M Hall is a sole proprietor of her business.
NPI number (Unique professional ID) for Kendra M Hall is
1548251432 which was assigned by NPPES on 31 Oct, 2005 and it was last updated on 05 May, 2023.
Kendra M Hall license number is
036127029 for Pediatrics (208000000X) in Illinois.
Kendra M Hall is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kendra M Hall basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Kendra M Hall |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Kendra M Hall address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3505 North Bell School Road
Rockford, IL, 61114
United States |
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| Phone Number : | 779-696-0300 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1548251432 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 31 Oct, 2005 |
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| Last Updated On : | 05 May, 2023 |
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Medicare Participation:
Kendra M Hall participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 1951583509 |
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| Medicare Enrollment ID : | I20110303000430 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Southern Illinois University School Of Medicine |
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| Graduation Year : | 1998 |
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| Accepts Medicare? | Yes. Kendra M Hall accepts medicare insurance. |
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Group Practice Association:
Kendra M Hall is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Kendra M Hall is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Swedishamerican Hospital | 5799698346 | 253 | 6824 Newburg Rd
Sa Valley
Rockford, IL - 611084330
Ph: 7796967610 | Yes |
| Swedishamerican Hospital | 5799698346 | 253 | 3505 N Bell School Rd
Rockford, IL - 611146624
Ph: 7796960300 | Yes |
| Swedishamerican Hospital | 5799698346 | 253 | 3535 N Bell School Rd
Regional Cancer Center
Rockford, IL - 611146624
Ph: 7796969400 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kendra M Hall are as mentioned. Primary taxonomy code for Kendra M Hall, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 28978 | AZ |
| 208000000X | Pediatrics | Yes | 036127029 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Kendra M Hall such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036127029 | MEDICAID | IL | |
| 575079 | MEDICAID | AZ | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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6861 VILLAGREEN VW,
ROCKFORD, IL, 61107
United States | ROCKFORD, IL | 815-637-6200 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
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DIRECT
(Direct Messaging Address) | khall912185@direct.uwhealth.org
| No affiliation |
|
| 3505 North Bell School Road,
Rockford, IL, 61114
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 78866
Milwaukee, WI, 53278-8866
United States |
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| Phone Number : | 779-696-7150 |
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| Fax Number : | 779-696-7342 |
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Business Location:
Patients can refer following map for directions to
Kendra M Hall practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.