Keller, Michael James
Keller, Michael James is an individual health care provider with primary practice located at 800 Biesterfield Rd Suite 510, Elk Grove Village IL 60007-3361. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Keller, Michael James can be contacted via phone (847) 981-3660.Contact Information
Primary practice address
800 Biesterfield Rd Suite 510
Elk Grove Village IL 60007-3361
Phone: (847) 981-3660
Fax: (847) 956-5108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036123136 | Illinois |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036123136 | Illinois |
Profile Details
| NPI number | 1013164086 |
|---|---|
| LBN Legal business name | Keller, Michael James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2008 |
| Last updated | Apr 5th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013164086 | NPPES |
| Illinois | MEDICAID | 036134102 |
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