Kestenberg, Craig

Kestenberg, Craig is an individual health care provider with primary practice located at 24600 W 127Th St Ste B325, Plainfield IL 60585-9507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Kestenberg, Craig can be contacted via phone (815) 731-9100.

Contact Information

Primary practice address
24600 W 127Th St Ste B325 Plainfield IL 60585-9507
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 036105064 Illinois

Profile Details

NPI number 1821174285
LBN Legal business name Kestenberg, Craig
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821174285 NPPES
Illinois Other 336065854 LIC PHY SURG CONTROL SUB
Illinois Other 2234315 LIC PHY SURG CONTROL SUB
Illinois MEDICAID 036105064 LIC PHY SURG CONTROL SUB

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