KENNETH M PELEHAC (DO) – Surgery Physician, NPI 1487651550
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2026-05-20. Reason: Conviction of program-related crimes (mandatory; min. 5 years).
Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KENNETH M PELEHAC (DO)
Foxwoods Drive, Alsip, Worth Township, Cook County, Illinois, 60803, United States
OAK LAWN, IL 604535073
Phone: (708) 382-1615
Fax: (888) 702-1052
Type: Mailing
N2950 State Road 67
Lake Geneva, WI 531472655
Phone: (262) 245-0535
Type: Location
NPPES updates history
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Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60453)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | WI | 11042 | Removal of skin and tissue first 20 sq cm or less | 45 | 27 |
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