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
Phone: (815) 731-9100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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