DR. SANJAY PRADEEP KENI (NPI# 1720273378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720273378 |
| Entity Type | Individual |
| Full Name | DR. SANJAY PRADEEP KENI |
| Credential | M.D. |
| Practice Address |
6420 W 127th St Palos Heights IL 60463-2269 |
| Practice Telephone | 7083713090 |
| Practice Fax Number | 7083711529 |
| Mailing Telephone | 7083713090 |
| Mailing Fax Number | 7083711529 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2020-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
036121277 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
6420 W 127TH ST |
| City | PALOS HEIGHTS |
| State | IL |
| Zip Code | 60463-2269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386688265 | Joel U Mann | Ophthalmology | 6420 W 127th St, Ste 108, Palos Heights, IL 60463 | 2006-06-15 |
| 1346535945 | Joel U Mann Ltd | Ophthalmology | 6420 W 127th St, Suite 108, Palos Heights, IL 60463-2269 | 2011-06-13 |
| 1760792725 | John P Beaupied Dpm LLC | Podiatrist | 6420 W 127th St, Suite 105, Palos Heights, IL 60463-2269 | 2010-10-08 |
| 1407000730 | Optical Services, Ltd | Eyewear Supplier (Equipment, not the service) | 6420 W 127th St, Palos Heights, IL 60463-2269 | 2008-11-13 |
| 1679736995 | Carmen Nelson | Dentist | 6420 W 127th St, Suite 102, Palos Heights, IL 60463-2269 | 2008-07-07 |
| 1740443068 | Erik Nelson | Dentist | 6420 W 127th St, Suite 102, Palos Heights, IL 60463-2269 | 2008-07-07 |
| 1144416041 | Amber Chiropractic, Ltd | Chiropractor | 6420 W 127th St, 106, Palos Heights, IL 60463-2269 | 2007-09-24 |
| 1174723985 | Vilija R Kerelis | Chiropractor | 6420 W 127th St, Suite 106, Palos Heights, IL 60463-2269 | 2007-07-19 |
| 1245350321 | A Nelson Professional Corporation | Dentist | 6420 W 127th St, Suite 102, Palos Heights, IL 60463 | 2007-03-30 |
| 1669587069 | John Paul Beaupied | Podiatrist | 6420 W 127th St, Suite 105, Palos Heights, IL 60463-2269 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756095 | Kim Rusiecki | Technician | 25 Parliament Drive East, Palos Heights, IL 60463 | 2019-08-23 |
| 1265925218 | Sentinel Anesthesia of Illinois, PC | Anesthesiology | 7340 W College Dr Fl 1, Palos Heights, IL 60463 | 2018-06-13 |
| 1225410848 | Deborah Ann Castaneda | Skilled Nursing Facility | 12350 Natchez Ave., Palos Heights, IL 60463 | 2015-06-19 |
| 1609253160 | Tareq Ayyad | Physical Therapy Assistant | 11730 Lighthouse Ln, Palos Heights, IL 60463 | 2015-05-04 |
| 1366846503 | Ryan Teahen | Dentist | 7600 W College Dr Ste 17, Palos Heights, IL 60463 | 2014-10-17 |
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1275976045 | Nazim A. Khan | Physician Assistant | 6450 West College Drive, Palos Heights, IL 60463 | 2013-04-11 |
| 1619246824 | Amanda M Ejka | Psychologist | 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 | 2011-12-16 |
| 1578832937 | Sandi Maheras | Pharmacist | 1703 Spyglass Cir, Palos Heights, IL 60463 | 2011-12-14 |
| 1043597065 | Ashraf Olwan | Pharmacist | 7660 W Sequoia Rd, Palos Heights, IL 60463 | 2011-11-04 |
| Find all providers in zip 60463 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326338526 | Sudeep Roy | Otolaryngology | 1640 N Arlington Heights Rd Ste 210, Arlington Heights, IL 60004-3985 | 2011-04-10 |
| 1487834958 | Ryan C Vaughn | Otolaryngology | 814 E Woodfield Rd, Schaumburg, IL 60173-4714 | 2007-11-13 |
| 1023214426 | Otolaryngology Associates Sc | Otolaryngology | 233 E Erie St Ste 804, Chicago, IL 60611-2906 | 2007-06-22 |
| 1982769717 | Anthony James Geroulis | Otolaryngology | 330 West Frontage Rd., Northfield, IL 60093 | 2006-12-22 |
| 1821191404 | Gary G Wiesman | Otolaryngology | 712 N Dearborn St, Chicago, IL 60654-3846 | 2006-09-07 |
| 1912926205 | Bryan W Rubach | Otolaryngology | 2040 Ogden Ave Ste 301, Aurora, IL 60504-7205 | 2006-07-18 |
| 1609805985 | Howard Shane Kotler | Otolaryngology | 2555 S. Martin Luther King Dr., Chicago, IL 60616 | 2006-06-30 |
| 1447288303 | Thomas E. Turcotte Jr. | Otolaryngology | 215 E. 1st St., Suite #315, Ksb Medical Group, Dixon, IL 61021 | 2006-06-29 |
| 1477184562 | Chicago Nose and Sinus LLC | Otolaryngology | 680 N Lake Shore Dr Ste 1425, Chicago, IL 60611-4451 | 2020-01-28 |
| 1780935197 | Jeffrey Ryan Sparks | Otolaryngology | 515 E Grant St, Suite 113, Macomb, IL 61455-3368 | 2012-09-25 |
| Find all providers with the same taxonomy | ||||
| City | PALOS HEIGHTS |
| Zip Code | 60463 |
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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.