Line Kemeyou
Medical Specialty
Professional ID
- NPI: 1396905493
- PECOS ID: 6002033222
- Enrollment ID: I20161212001672
- Credential(MD, DO, DPM):
- Medical School: University Of Texas Southwestern Medical School At Dallas
- Medical School Graduation Year: 2008
Hospital Service
- Hospital CCN1: 520098
- Business Name (LBN)1: University Of Wi Hospitals Clinics Authority
- Hospital CCN2: 140228
- Business Name (LBN)2: Swedish American Hospital
- Hospital CCN3: 520028
- Business Name (LBN)3: The Monroe Clinic
Medical Practices
- Organization Name: Swedishamerican Hospital
- Group Practice ID assigned by PECOS: 5799698346
- Number of Group Practice member: 205
Location
- Address1: 1340 Charles St
- Address2:
- City: Rockford
- State: Illinois
- Zip Code: 61104
- Phone Number:
Location
- Address1: 6824 Newburg Rd
- Address2:
- City: Rockford
- State: Illinois
- Zip Code: 61108
- Phone Number: (779)696-7610
Medical Practices
- Organization Name: University Of Wisconsin Medical Foundation Inc
- Group Practice ID assigned by PECOS: 6608785464
- Number of Group Practice member: 1763
Location
- Address1: 1818 N Meade St
- Address2:
- City: Appleton
- State: Wisconsin
- Zip Code: 54911
- Phone Number: (920)731-4101
Location
- Address1: 500 Wind Ridge Dr
- Address2:
- City: Wausau
- State: Wisconsin
- Zip Code: 54401
- Phone Number: (715)847-2611
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR): Yes