Kerstan, Peter D
Kerstan, Peter D is an individual health care provider with primary practice located at 205 S Northwest Hwy Ste 130 , Park Ridge IL 60068-5802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kerstan, Peter D can be contacted via phone (847) 292-5200.Contact Information
Primary practice address
205 S Northwest Hwy Ste 130
Park Ridge IL 60068-5802
Phone: (847) 292-5200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036080241 | Illinois |
Profile Details
| NPI number | 1780687301 |
|---|---|
| LBN Legal business name | Kerstan, Peter D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Mar 19th, 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 | 1780687301 | NPPES |
| Illinois | MEDICAID | 036080241 |
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