DR. W BRUCE KETEL (NPI# 1922041318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922041318 |
| Entity Type | Individual |
| Full Name | DR. W BRUCE KETEL |
| Credential | M.D. |
| Practice Address |
1255 Milwaukee Ave Glenview IL 60025-2425 |
| Practice Telephone | 8472945490 |
| Practice Fax Number | 8472945496 |
| Mailing Telephone | 8472945490 |
| Mailing Fax Number | 8472945496 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
1255 MILWAUKEE AVE |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60025-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689883688 | Dana Marie Russo | Obstetrics & Gynecology | 1255 Milwaukee Ave, Glenview, IL 60025-2425 | 2007-05-22 |
| 1811005630 | Nancy R Novotny | Internal Medicine | 1255 Milwaukee Ave, Glenview, IL 60025-2425 | 2006-08-29 |
| 1205941127 | Seong Chin | Specialist | 1255 Milwaukee Ave, Glenview, IL 60025-2425 | 2006-08-20 |
| 1639189129 | Joel Steven Shoolin | Family Medicine | 1255 Milwaukee Ave, Glenview, IL 60025-2425 | 2006-08-08 |
| 1154347003 | Esther Francine Vergara | Family Medicine | 1255 Milwaukee Ave, Glenview, IL 60025-2425 | 2006-07-14 |
| 1962435727 | Nan Young Kwon | Pediatrics | 1255 Milwaukee Ave, Glenview, IL 60025-2425 | 2006-07-07 |
| 1326077942 | Kevin Craig Mccune | Family Medicine | 1255 Milwaukee Ave, Glenview, IL 60025-2425 | 2006-07-03 |
| 1437188224 | Kenneth George Kells | Family Medicine | 1255 Milwaukee Ave, Glenview, IL 60025-2425 | 2006-07-02 |
| 1598794950 | Barry H Weber | Psychiatry & Neurology | 1255 Milwaukee Ave, Glenview, IL 60025-2425 | 2006-06-30 |
| 1306873021 | Peter Y Lee | Specialist | 1255 Milwaukee Ave, Glenview, IL 60025-2425 | 2006-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790287118 | Nl Speech and Language Path LLC | Speech-Language Pathologist | 1315 Sherwood Rd., Glenview, IL 60025 | 2018-03-01 |
| 1982128021 | Quinn Goodwin | Speech-Language Pathologist | 41 Waukegan Rd., Glenview, IL 60025 | 2017-07-31 |
| 1447773684 | Roshni Jaimon | Nurse Practitioner | 616 Meadow Dr, Glenview, IL 60025 | 2017-07-19 |
| 1053840488 | Progressive Behavior Solutions LLC | Behavioral Analyst | 2519 Allison Court, Glenview, IL 60025 | 2017-06-08 |
| 1720529969 | Catherine Marquard | Social Worker | 1949 Robincrest Ln, Glenview, IL 60025 | 2017-03-20 |
| 1073055398 | Imad Dababneh | Optometrist | 4150 Williamsburg Ct. Apt 101, Glenview, IL 60025 | 2016-11-17 |
| 1417400565 | Megan Bowman | Nutritionist | 1332 Waukegan Rd., Glenview, IL 60025 | 2016-07-25 |
| 1548621402 | Integrated Care Servises Corp | In Home Supportive Care | 4001 Amalfi Dr., Glenview, IL 60025 | 2016-03-18 |
| 1003277237 | Caring Nurses, Inc | Home Health | 1701 East Lake Ave, Suite 360, Glenview, IL 60025 | 2016-03-16 |
| 1033570841 | Sumy Johny | Pharmacist | 25 Waukegan Road, Glenview, IL 60025 | 2016-03-08 |
| Find all providers in zip 60025 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104002476 | Zira Mind and Body Center, Ltd | Psychiatry & Neurology | 1332 Waukegan Road, Glenview, IL 60025 | 2008-01-16 |
| 1538364591 | Neurology and Neurodiagnostics, Ltd | Psychiatry & Neurology | 1651 Forest Drive, Glenview, IL 60025-1674 | 2007-06-19 |
| 1508983628 | Zahra Sara Afshari | Psychiatry & Neurology | 2634 Patriot Blvd Ste C, Glenview, IL 60026-8024 | 2007-03-23 |
| 1730275223 | Olga O. Brusil | Psychiatry & Neurology | 1247 Milwaukee Ave, Suite 100, Glenview, IL 60025-2464 | 2006-10-04 |
| 1780638205 | Trupti Binal Gokani | Psychiatry & Neurology | 333 Waukegan Rd Ste E, Glenview, IL 60025-5122 | 2006-05-20 |
| 1588630727 | Prashanthi Boppana | Psychiatry & Neurology | 1255 Milwaukee Avenue, Glenview, IL 60025 | 2006-02-27 |
| 1902884596 | Lloyd S Davis | Psychiatry & Neurology | 2180 Pfingsten Rd Ste 2000, Glenview, IL 60026-1339 | 2006-01-04 |
| 1841284932 | Karyn H Karlin | Psychiatry & Neurology | 2180 Pfingsten Rd Ste 200, Glenview, IL 60026-1339 | 2005-09-06 |
| 1205283116 | Elizabeth Ann Harris | Psychiatry & Neurology | 2180 Pfingsten Rd Ste 2000, Glenview, IL 60026-1339 | 2016-05-20 |
| 1053792846 | Catherine M. Daley | Psychiatry & Neurology | 2180 Pfingsten Rd Ste 2000, Glenview, IL 60026-1339 | 2015-06-17 |
| Find all providers in GLENVIEW | ||||
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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.