Paul Finly Detjen, MD - Medicare Allergy/immunology in Kenilworth, IL

Paul Finly Detjen, MD is a medicare enrolled "Allergy & Immunology" physician in Kenilworth, Illinois. He went to Washington University School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Allergy/immunology. His current practice location is 534 Green Bay Rd, Kenilworth, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 256-5505.

Paul Finly Detjen is licensed to practice in Illinois (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396739298.

Contact Information

Paul Finly Detjen, MD
534 Green Bay Rd,
Kenilworth, IL 60043-1801
(847) 256-5505
(847) 256-5567



Physician's Profile

Full NamePaul Finly Detjen
GenderMale
SpecialityAllergy/immunology
Experience40 Years
Location534 Green Bay Rd, Kenilworth, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Paul Finly Detjen attended and graduated from Washington University School Of Medicine in 1984
  NPI Data:
  • NPI Number: 1396739298
  • Provider Enumeration Date: 09/07/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8022203553
  • Enrollment ID: I20101110000789

Medical Identifiers

Medical identifiers for Paul Finly Detjen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396739298NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207K00000XAllergy & Immunology (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northshore University Healthsystem - Evanston HospitalEvanston, ILHospital
Northwestern Lake Forest HospitalLake forest, ILHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Paul Finly Detjen allows following entities to bill medicare on his behalf.
Entity NameKenilworth Medical Associates, S.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366579054
PECOS PAC ID: 2769677293
Enrollment ID: O20101110000776

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Medicare Part D Prescriber Enrollment

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Mailing Address and Practice Location

Mailing AddressPractice Location Address
Paul Finly Detjen, MD
534 Green Bay Rd,
Kenilworth, IL 60043-1801

Ph: (847) 256-5505
Paul Finly Detjen, MD
534 Green Bay Rd,
Kenilworth, IL 60043-1801

Ph: (847) 256-5505

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Allergy & Immunology Doctors in Kenilworth, IL


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