Kiiri T Tietjens (NPI# 1659435253, PAC ID# 2567561731) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1659435253 |
| PAC ID by PECOS | 2567561731 |
| Professional Enrollment ID | I20070629000122 |
| Full Name | Kiiri T Tietjens |
| Address |
750 Almar Pkwy Suite 102 Bourbonnais IL 60914-2315 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Secondary Specialties | ORAL SURGERY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 750 Almar Pkwy, Suite 102, Bourbonnais, IL 60914-2315 |
| Street Address |
750 ALMAR PKWY SUITE 102 |
| City | BOURBONNAIS |
| State | IL |
| Zip | 60914-2315 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James M Adams | Maxillofacial Surgery | 750 Almar Pkwy, Suite 102, Bourbonnais, IL 60914-2315 | |
| Benjamin Kunz | Psychologist, Clinical | 750 Almar Pkwy, Suite 204, Bourbonnais, IL 60914-2399 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Grumish | Chiropractic | 40 Briarcliff Professional Ctr, Bourbonnais, IL 60914 | |
| Casey A Moauro | Obstetrics/gynecology | Presence Healthcare Services | 1 Provena Way, Bourbonnais, IL 60914 |
| Brian Egan | Vascular Surgery | Presence Healthcare Services | 1 Provena Way, Bourbonnais, IL 60914 |
| Michael S Schroer | Chiropractic | 40 Briarcliff Professional Ctr, Bourbonnais, IL 60914 | |
| Katrina Schabacker | Nurse Practitioner | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Nikhil Bhargava | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Jamie Slade | Pathology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| David B Sutherland | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Daniel Errampalli | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Thomas L Oconnor | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Find all physicians in zip 60914 | |||
| City | BOURBONNAIS |
| Zip Code | 60914 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | BOURBONNAIS + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Kiiri T Tietjens.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.