Keith Michael Ladendorf in Chicago - Surgical
Keith Michael Ladendorf - NPI 1619092095
Keith Michael Ladendorf is a Surgical in Chicago, Illinois. Keith Michael Ladendorf practices all healthcare services and medical treatments related to Surgical. The NPI Number for Keith Michael Ladendorf is 1619092095. The last update date is 2023-01-23.
Keith Michael Ladendorf's current location address is 7447 W Talcott Avenue, Chicago, Illinois. You can contact this provider via phone number 8477881553 and fax number 7735778187. The mailing address for Keith Michael Ladendorf is 7447 W Talcott Avenue, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Michael Ladendorf |
|---|---|
| Address | 7447 W Talcott Avenue, Chicago, Illinois |
| Phone Number | 8477881553 |
| Fax Number | 7735778187 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1619092095 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2023-01-23 |
Provider Mailing Address Detail
| Address | 7447 W Talcott Avenue |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60631 |
| Phone Number | 8477881553 |
| Fax Number | 7735778187 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 85002545 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Post Comment/ Review Below
What is the unique identification code assigned to Keith Michael Ladendorf by the Centers for Medicare & Medicaid Services?
The Keith Michael Ladendorf has been issued the NPI (National Provider Identifier) 1619092095. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Keith Michael Ladendorf is physically located?
The Keith Michael Ladendorf is physically situated at the following address: 7447 W Talcott Avenue, Chicago, IL, 60631.
What is Keith Michael Ladendorf's specialized field of practice, and what is the corresponding taxonomy classification code?
The Keith Michael Ladendorf's area of specialization is Surgical, and the corresponding taxonomy code that categorizes this field of practice is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619092095 to Keith Michael Ladendorf?
The Centers for Medicare & Medicaid Services originally issued the 1619092095 to Keith Michael Ladendorf on 2007-03-21.
As of what date was the information regarding Keith Michael Ladendorf, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Keith Michael Ladendorf, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-01-23.