DR. CRAIG KESTENBERG (NPI# 1821174285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821174285 |
| Entity Type | Individual |
| Full Name | DR. CRAIG KESTENBERG |
| Credential | DO |
| Practice Address |
24600 W 127th St Ste B325 Plainfield IL 60585-9507 |
| Practice Telephone | 8157319100 |
| Mailing Telephone | 8157319100 |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2013-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
036105064 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036105064 | 05 | |
| IL | BCBS | 2234315 | 01 |
| DEA | BK8578289 | 01 | |
| IL | LIC PHY SURG CONTROL SUB | 336065854 | 01 |
| Street Address |
24600 W 127TH ST STE B325 |
| City | PLAINFIELD |
| State | IL |
| Zip Code | 60585-9507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104823780 | Steven Matthew Kovar | Pediatrics | 24600 W 127th St, Building B, Suite 345, Plainfield, IL 60585-9502 | 2005-06-28 |
| 1760031660 | Jasmine Diaz | Social Worker | 24600 W 127th St, Plainfield, IL 60585-9507 | 2019-09-04 |
| 1508216086 | Alison Taylor Dulli | Counselor | 24600 W 127th St, Plainfield, IL 60585-9507 | 2016-06-15 |
| 1780088948 | Kathleen Anne Zielinski | Nurse Practitioner | 24600 W 127th St, Building B, Suite 345, Plainfield, IL 60585-9507 | 2014-10-17 |
| 1033510466 | Carol Wills | Registered Nurse | 24600 W 127th St, Bldg B, Ste 240, Plainfield, IL 60585-9507 | 2014-09-04 |
| 1043632136 | Edward Health Ventures | Clinic/Center | 24600 W 127th St, Ste B205, Plainfield, IL 60585-9507 | 2014-01-09 |
| 1841630589 | Edward Health Ventures | Clinic/Center | 24600 W 127th St, Ste 125, Plainfield, IL 60585-9507 | 2013-06-26 |
| 1336588532 | Edward Health Services Corporation | Non-Pharmacy Dispensing Site | 24600 W 127th St, Plainfield, IL 60585-9507 | 2013-06-20 |
| 1851636047 | Edward Health Ventures | Family Medicine | 24600 W 127th St, Ste 340, Bldg B, Plainfield, IL 60585-9507 | 2012-11-29 |
| 1780948588 | Navrow L.L.C. | Specialist | 24600 W 127th St, Building B Suite 335, Plainfield, IL 60585-9507 | 2012-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851918650 | Kaytlin Cearnal | Behavior Technician | 11914 Illinois Rte 59, Suite 124, Plainfield, IL 60585 | 2020-06-29 |
| 1891315503 | Erin Leigh Lehman | Social Worker | 11914 Illinois Rte 59 Suite 124, Plainfield, IL 60585 | 2020-04-22 |
| 1770112856 | Neuro Communication & Swallowing Therapy LLC | Speech-Language Pathologist | 13400 S. Route 59, Ste 116, Plainfield, IL 60585 | 2020-04-02 |
| 1407494891 | Samantha Lisa Delaney | Behavior Technician | 11914 Il-59, Plainfield, IL 60585 | 2019-12-16 |
| 1134767510 | Alexandra Marie Vosburgh | Behavior Technician | 11914 Il-59 S Unit 124, Plainfield, IL 60585 | 2019-12-16 |
| 1609419498 | Kristen Gomez | Occupational Therapist | 11914 Il Route 59, Suite 124, Plainfield, Il, IL 60585 | 2019-10-24 |
| 1073165411 | Kari Mild | Speech-Language Pathologist | 1183 Ford Court, Plainfield, IL 60585 | 2019-07-16 |
| 1700367810 | Monica Isabel Avelar | Behavior Technician | 11914 Illinois Route 59, Plainfield, IL 60585 | 2018-08-27 |
| 1427599901 | Harrinder Panglia | Occupational Therapist | 12800 Barrow Lane, Plainfield, IL 60585 | 2017-03-16 |
| 1942678990 | Jessica Akins | Speech-Language Pathologist | 12838 Blue Spruce Dr, Plainfield, IL 60585 | 2015-09-08 |
| Find all providers in zip 60585 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144851684 | Greywood Health Center LLC | Psychiatry & Neurology | 303 W Institute Pl Fl 3, Chicago, IL 60610-3080 | 2020-02-03 |
| 1285273540 | Tms Clinical Services Pllc | Psychiatry & Neurology | 1100 Jorie Blvd Ste 172, Oak Brook, IL 60523-4409 | 2020-01-03 |
| 1942702386 | Brain and Wellness Institute LLC | Psychiatry & Neurology | 30 W Oak St Apt 14a, Chicago, IL 60610-8724 | 2018-03-01 |
| 1598278749 | Elemental Treatment Center Ltd | Psychiatry & Neurology | 612 S Western Ave Apt 1, Chicago, IL 60612-4682 | 2017-11-09 |
| 1225404551 | Family Renewed, LLC | Psychiatry & Neurology | 1004 Pebble Beach Dr, Caseyville, IL 62232-2834 | 2015-08-21 |
| 1487032082 | Jerry Francisco Benzl | Psychiatry & Neurology | 1740 Taylor St., Chicago, IL 60612 | 2015-05-14 |
| 1942697800 | Dr Mo S.c | Psychiatry & Neurology | 2131 W Silverleaf Ln, Addison, IL 60101-6404 | 2015-04-17 |
| 1104234046 | Hitekshya Nepal | Psychiatry & Neurology | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2014-07-23 |
| 1740558261 | Jyoti Shah | Psychiatry & Neurology | 1335 N Mill St Ste 100, Naperville, IL 60563-2047 | 2011-12-12 |
| 1083921530 | Jodi Chase | Psychiatry & Neurology | 480 Elm Pl Ste 106, Highland Park, IL 60035-2535 | 2010-09-04 |
| Find all providers with the same taxonomy | ||||
| City | PLAINFIELD |
| Zip Code | 60585 |
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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.