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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780687301 NPPES
Illinois MEDICAID 036080241

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