Kendra P Kaesberg (NPI# 1184799371, PAC ID# 6406043520) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1184799371 |
PAC ID by PECOS | 6406043520 |
Professional Enrollment ID | I20101215000085 |
Full Name | Kendra P Kaesberg |
Organization Legal Name | KAESBERG CHIROPRACTIC CLINIC PC |
Address |
3131 State St East Saint Louis IL 62205-2203 |
Phone Number | 6182336824 |
Gender | F |
Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
Graduation Year | 1984 |
Primary Specialty | CHIROPRACTIC |
Group Practice PAC ID | 9133316250 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
100 Mascoutah Ave, Belleville, IL 62220-3801 | 6182336824 | KAESBERG CHIROPRACTIC CLINIC PC |
3131 State St, East Saint Louis, IL 62205-2203 | 6182336824 | KAESBERG CHIROPRACTIC CLINIC PC |
Organization Legal Name | KAESBERG CHIROPRACTIC CLINIC PC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
James Jay White | Chiropractic | Kaesberg Chiropractic Clinic PC | 3131 State St, East Saint Louis, IL 62205-2203 |
Street Address |
3131 STATE ST |
City | EAST SAINT LOUIS |
State | IL |
Zip | 62205-2203 |
Name | Specialty | Organization | Address |
---|---|---|---|
James Jay White | Chiropractic | Kaesberg Chiropractic Clinic PC | 3131 State St, East Saint Louis, IL 62205-2203 |
Name | Specialty | Organization | Address |
---|---|---|---|
Howard Franklin Jackson | Podiatry | 4601 State St, Suite 310, East Saint Louis, IL 62205-1359 | |
Alfred Johnson | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 2001 State St, East Saint Louis, IL 62205-1803 |
Miguel H Granger | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 2001 State St, East Saint Louis, IL 62205-1803 |
Natascha Jeffries | Nurse Practitioner | Southern Illinois Healthcare Foundation, Inc. | 2001 State St, East Saint Louis, IL 62205-1803 |
Verna J Porter | Obstetrics/gynecology | Southern Illinois Healthcare Foundation, Inc. | 2001 State St, East Saint Louis, IL 62205-1803 |
Dolores J Gunn | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 2001 State St, East Saint Louis, IL 62205-1803 |
Bernice L Collins | Psychologist, Clinical | 605 Vogel Place, East St Louis, IL 62205-2132 |
City | EAST SAINT LOUIS |
Zip Code | 62205 |
Specialty | CHIROPRACTIC |
City + Specialty | EAST SAINT LOUIS + CHIROPRACTIC |
Please comment or provide details below to improve the information on Kendra P Kaesberg.
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.