DR. KEITH REYNOLDS WARREN (NPI# 1164493854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164493854 |
| Entity Type | Individual |
| Full Name | DR. KEITH REYNOLDS WARREN |
| Credential | MD |
| Practice Address |
25 N Winfield Rd Winfield IL 60007-3361 |
| Practice Telephone | 6306904993 |
| Practice Fax Number | 6306902293 |
| Mailing Telephone | 6306904993 |
| Mailing Fax Number | 6306902293 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2015-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 42-0010962 | VT | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
036125979 | IL | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
13059 | NH | Allopathic & Osteopathic Physicians |
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
036125979 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN (INDIVIDUAL) | F400188615 | 01 |
| IL | MEDICARE PTAN (GROUP) | 206147 | 01 |
| IL | 036125979 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003390790 | Keith L Warren Sr. | Counselor | 7400 Huntington Dr, 7400 Huntington Dr, Columbus, OH 43235 | 2018-09-19 |
| 1649356031 | Keith Clements Warren | Psychologist | 5020 Lakeland Cir, Suite B, Waco, TX 76710-2996 | 2006-10-27 |
| 1174958458 | Keith A Warren | Pharmacist | 1544 Piedmont Ave Ne, Atlanta, GA 30324-5018 | 2013-09-05 |
| 1275790552 | Keith Warren | Specialist | 214 King St, Ogdensburg, NY 13669-1142 | 2008-05-22 |
| 1790757631 | Keith Adrian Warren | Ophthalmology | 10100 W 119th St, Suite 260, Overland Park, KS 66213-1604 | 2006-02-04 |
| Street Address |
25 N WINFIELD RD |
| City | WINFIELD |
| State | IL |
| Zip Code | 60007-3361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861499899 | Teresa Smith | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2005-07-05 |
| 1396358412 | Stephanie Bryan | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1379 | 2020-08-28 |
| 1629602560 | Amanda Berndt | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2020-03-01 |
| 1003454943 | Joelle Marie Tolentino | Registered Nurse | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2019-12-10 |
| 1073157582 | Haley Young | Physician Assistant | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2019-10-29 |
| 1316406440 | Lisa Wehbe | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2019-03-18 |
| 1821562281 | Julianne Reinbold | Speech-Language Pathologist | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2019-01-17 |
| 1023591054 | Ekchhanak Leaders Rosenkranz | Physician Assistant | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2018-09-14 |
| 1376038166 | Brittany Wienkes | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2018-06-25 |
| 1841789583 | Sheela Bhayani | Physician Assistant | 25 N Winfield Rd, Winfield, IL 60190 | 2018-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593706 | Anthony Ray Zwaga | Social Worker | 1001 Il-53 N, Elk Grove Village, IL 60007 | 2020-03-19 |
| 1104471333 | Highway Dental Inc | Dentist | 1055 Rohlwing Road, Elk Grove Village, IL 60007 | 2019-08-05 |
| 1699335984 | Orsini Pharmaceutical Services, LLC | Pharmacy | 1107 Nicholas Boulevard, Elk Grove Village, IL 60007 | 2019-06-18 |
| 1700371457 | Kandy Sandhu | Specialist/Technologist, Other | 910 Biesterfield Rd, Suite 105, Elk Grove Village, IL 60007 | 2018-06-26 |
| 1447761085 | Trevor W Avella | Physician Assistant | 800 Biesterfield Rd Ste 101, Elk Grove Village, IL 60007 | 2017-10-23 |
| 1649792573 | Paige Wesa | Speech-Language Pathologist | 936 Victoria Ln, Elk Grove Village, IL 60007 | 2017-07-12 |
| 1093242414 | Assist Illinois Senior Care Services, Inc. | In Home Supportive Care | 1052 Florida Lane, Elk Grove Village, IL 60007 | 2017-05-16 |
| 1598205098 | Azadeh Bassij | Counselor | 1001 Rohwing Rd., Kenneth Young Center, Elk Grove Village, IL 60007 | 2017-03-02 |
| 1700245438 | Roma H Venkatesan | Nurse Practitioner | 800 Biesterfield Road Cancer Institute, Suite 120, Elk Grove Village, IL 60007 | 2016-02-23 |
| 1295114825 | Shelagh Robyn Nikkel | Massage Therapist | 901 Biesterfield Rd. Suite 211, Maria A. Castellese D.c., P.C., Elk Grove Village, IL 60007 | 2015-05-28 |
| Find all providers in zip 60007 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336776954 | Almusaddy Medical Inc | Internal Medicine | 500 N Mclean Blvd, Elgin, IL 60123-3275 | 2020-03-24 |
| 1205292281 | Mjm Medical Corp | Internal Medicine | 5696 Heidi Dr, Rockford, IL 61109-1768 | 2016-01-07 |
| 1720470115 | Chicago Pulmonary and Sleep Disorders Institute Ltd | Internal Medicine | 1742 S La Londe Ave, Lombard, IL 60148-3537 | 2015-02-23 |
| 1467717561 | Syed A Sayeeduddin | Internal Medicine | 8900 31st St Unit 6, Brookfield, IL 60513-1473 | 2012-07-05 |
| 1861755498 | Abigail Denise Doyle | Internal Medicine | 5841 S Maryland Ave # 6026, Chicago, IL 60637 | 2012-06-19 |
| 1689800443 | Esteban Linarez Sleep, LLC | Internal Medicine | 850 W. Madison Street, Suite A, Oak Park, IL 60302-1632 | 2009-06-08 |
| 1558584391 | Mehbub S Kapadia | Internal Medicine | 2745 W Devon Ave, Chicago, IL 60659-1712 | 2007-04-10 |
| 1689742272 | Advance Sleep Solutions and Diagnostics Inc | Internal Medicine | 820 F Terra Cotta Ave, Unit 216, Crystal Lake, IL 60014 | 2006-12-01 |
| 1659443968 | Chest Diseases & Sleep Disorders Sc | Internal Medicine | 15 Tower Ct Ste 140, Gurnee, IL 60031-3338 | 2006-11-14 |
| 1871547414 | St Joseph Medical Center | Internal Medicine | 302 Saint Joseph Dr, Bloomington, IL 61701-3506 | 2006-05-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.