DR. JEFFREY MICHAEL KSIAZEK (NPI# 1679735104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679735104 |
Entity Type | Individual |
Full Name | DR. JEFFREY MICHAEL KSIAZEK |
Credential | M.D. |
Practice Address |
25 N Winfield Road #519 Winfield IL 60190 |
Mailing Address |
25 N Winfield Road #519 Winfield IL 60190-1222 |
Practice Telephone | 6306682180 |
Mailing Telephone | 6306682180 |
Enumeration Date | 2008-06-26 |
Last Update Date | 2015-03-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | 036132930 | IL | Allopathic & Osteopathic Physicians |
Street Address |
25 N WINFIELD ROAD #519 |
City | WINFIELD |
State | IL |
Zip Code | 60190 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073514360 | Thomas A. Eiseman | Emergency Medicine | 25 N Winfield Road, Winfield, IL 60190 | 2005-08-09 |
1750813580 | Ingrid Kanady | Nurse Practitioner | 25 N Winfield Road, Winfield, IL 60190-1295 | 2017-03-30 |
1447647201 | Sarah Liljeberg | Nurse Practitioner | 25 N Winfield Road, Ste 420, Winfield, IL 60190-1295 | 2015-04-20 |
1174878896 | Kristin Lynn Rosenberger | Physical Therapist | 25 N Winfield Road, Winfield, IL 60190-1295 | 2012-07-18 |
1831463975 | Central Dupage Hospital | General Acute Care Hospital | 25 N Winfield Road, Winfield, IL 60190 | 2012-03-07 |
1841587599 | Brian Christopher Fort | Emergency Medicine | 25 N Winfield Road, Winfield, IL 60190 | 2011-07-01 |
1174821201 | Andrea Fuller | Nurse Practitioner | 25 N Winfield Road, Winfield, IL 60190 | 2011-03-15 |
1790017085 | Lee Michael De Dore | Physician Assistant | 25 N Winfield Road, Suite 505, Winfield, IL 60190 | 2010-02-11 |
1871823971 | Jennifer Aileen Chiaramonte | Speech-Language Pathologist | 25 N Winfield Road, Winfield, IL 60190 | 2010-01-12 |
1194981019 | Joshua A Blomgren | Family Medicine | 25 N Winfield Road, Winfield, IL 60190-1295 | 2008-07-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316592256 | Kelly Marie Jung | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190 | 2019-08-07 |
1003379660 | Genevieve Goro | Speech-Language Pathologist | In220 Pleasant Hill Rd, Winfield, IL 60190 | 2019-04-10 |
1730670175 | Brian J Fischer | Physical Therapist | 26w228 Geneva Road, Winfield, IL 60190 | 2018-05-22 |
1730625500 | Johnson Medical Services S.c. | Family Medicine | 27 W 132 Barnes Ave/, Winfield, IL 60190 | 2017-01-17 |
1992253843 | Dr. Roy Settergren S.c. | Chiropractor | 27w123 Redbud Lane, Winfield, IL 60190 | 2016-09-20 |
1952855223 | Terri Hannemann | Nurse Practitioner | 25 North Winfield Road, Central Dupage Hospital, Winfield, IL 60190 | 2016-08-04 |
1154730737 | Cynthia Koeppen | Registered Nurse | 27w281 Winfield Rd, Winfield, IL 60190 | 2014-08-07 |
1992117634 | Jonathan Wang | Internal Medicine | 25 N Winfield Rd Ste 202, Winfield, IL 60190 | 2014-05-29 |
1689005977 | Erin Sands | Physician Assistant | 25 N Winfield Rd Ste 519, Winfield, IL 60190 | 2013-12-11 |
1790120285 | Clarity Health & Wellness | Social Worker | 1 N. 121 County Farm Road, Suite 220, Winfield, IL 60190 | 2013-05-09 |
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Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700067907 | Nwmc Winfield Physician Practices Dba Northwest Ent Consultants | Otolaryngology | 200 Carrway Drive Suite B1, Winfield, AL 35594 | 2007-11-16 |
1164599577 | James M Chow | Otolaryngology | 25 N Winfield Rd., #519, Winfield, IL 60190 | 2006-11-29 |
1023317450 | Seth Kay | Otolaryngology | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2011-03-24 |
1164747754 | Riddhi Patel | Otolaryngology | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2010-04-07 |
1518114313 | Patrick E. Simon | Otolaryngology | 25 N Winfield Rd, Winfield, IL 60190 | 2008-08-22 |
1396902490 | Andrea Nath Shogan | Otolaryngology | 25 N Winfield Rd, Suite 519, Winfield, IL 60190 | 2008-05-18 |
1427279348 | Andrew Fishman | Otolaryngology | 25 N Winfield Rd, Winfield, IL 60190-1295 | 2007-05-01 |
1508938952 | Joseph J Donzelli | Otolaryngology | 25 N Winfield Road, Suite 519, Winfield, IL 60190 | 2006-11-14 |
1851489561 | Christopher M Hampson | Otolaryngology | 0n025 Winfield Rd, Suite 519, Winfield, IL 60190-1237 | 2006-10-10 |
1538262951 | Midwest Ear, Nose & Throat Consultants, Ltd. | Otolaryngology | 25 North Winfield Road, Suite 519, Winfield, IL 60190-1237 | 2006-09-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.