KEITH KRIESBERG (NPI# 1487042057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487042057 |
| Entity Type | Individual |
| Full Name | KEITH KRIESBERG |
| Credential | PA-C |
| Practice Address |
133 E Brush Hill Rd Suite 200 Elmhurst IL 60126-5659 |
| Mailing Address |
2650 Warrenville Rd Suite 280 Downers Grove IL 60515-1748 |
| Practice Telephone | 6307821500 |
| Practice Fax Number | 6305010446 |
| Mailing Telephone | 6303247900 |
| Mailing Fax Number | 6302711813 |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2020-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085005853 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
133 E BRUSH HILL RD SUITE 200 |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-5659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114928397 | Donald Rahim Adeli | Obstetrics & Gynecology | 133 E Brush Hill Rd, Elmhurst, IL 60126-5659 | 2005-08-10 |
| 1306363593 | Dovile Cvirka | Physical Therapist | 133 E Brush Hill Rd, Elmhurst, IL 60126-5659 | 2017-08-28 |
| 1265977656 | Krista Hensley | Nurse Practitioner | 133 E Brush Hill Rd, Suite 310, Elmhurst, IL 60126-5659 | 2016-12-21 |
| 1689125700 | Priya Bedi | Physician Assistant | 133 E Brush Hill Rd, 310, Elmhurst, IL 60126-5659 | 2016-10-24 |
| 1255702684 | Sandra Elizabeth Bandel | Nurse Practitioner | 133 E Brush Hill Rd, Elmhurst, IL 60126-5659 | 2015-10-12 |
| 1679943518 | Abigail Peachey | Physical Therapist | 133 E Brush Hill Rd, Suite 100, Elmhurst, IL 60126-5659 | 2015-10-05 |
| 1295118610 | Marie Wydra | Nurse Practitioner | 133 E Brush Hill Rd, Ste 110, Elmhurst, IL 60126-5659 | 2015-07-02 |
| 1669861886 | Douglas Riggs | Physical Therapist | 133 E Brush Hill Rd, Suite 100, Elmhurst, IL 60126-5659 | 2015-01-12 |
| 1336578582 | Pamela Heydorn | Clinical Nurse Specialist | 133 E Brush Hill Rd, Ste. 202, Elmhurst, IL 60126-5659 | 2013-11-08 |
| 1659704708 | Du Page Medical Group Ltd | Prosthetic/Orthotic Supplier | 133 E Brush Hill Rd, Ste 100, Elmhurst, IL 60126-5659 | 2013-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1164840922 | Kayla Rene Vanderwall | Physician Assistant | 1200 S York St Ste 3280, Elmhurst, IL 60126-5638 | 2014-03-30 |
| 1336651512 | Elizabeth Danielle Most | Physician Assistant | 7901 Broadway, Elmhurst, NY 11373-1329 | 2017-10-28 |
| 1649677121 | Czarina Alonzo | Physician Assistant | 7901 Broadway, Elmhurst, NY 11373-1329 | 2014-11-26 |
| 1700282803 | Susan R Jahn | Physician Assistant | 360 W Butterfield Rd, #160, Elmhurst, IL 60126-5068 | 2014-11-17 |
| 1376948190 | Nicole Foster | Physician Assistant | 7901 Broadway, Elmhurst, NY 11373-1329 | 2014-10-23 |
| 1821401316 | Orthopedic Specialists, S.c. | Physician Assistant | 360 W Butterfield Rd, #160, Elmhurst, IL 60126-5068 | 2014-06-03 |
| 1740527845 | Artem Pinkhasov | Physician Assistant | 7901 Broadway, Elmhurst, NY 11373-1329 | 2013-01-09 |
| 1467733386 | Patrick Lee | Physician Assistant | 7901 Broadway, Elmhurst, NY 11373-1329 | 2011-09-06 |
| 1114212453 | Magdalena Balkiewicz | Physician Assistant | 7901 Broadway, Elmhurst, NY 11373-1329 | 2011-06-15 |
| Find all providers in ELMHURST | ||||
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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.