Kuesis, Daniel T

Kuesis, Daniel T is an sole proprietor health care provider with primary practice located at 555 Biesterfield Rd , Elk Grove Village IL 60007-3306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Kuesis, Daniel T can be contacted via phone (847) 690-1776.

Contact Information

Primary practice address
555 Biesterfield Rd Elk Grove Village IL 60007-3306
Fax: (847) 690-1777
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 036-106102 Illinois

Profile Details

NPI number 1679573240
LBN Legal business name Kuesis, Daniel T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2005
Last updated Dec 7th, 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 1679573240 NPPES
Illinois MEDICAID 036106102
Illinois Other 01637533
Illinois Other 200045103

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