Dillon L Kaesberg (NPI# 1821392952, PAC ID# 0547443962) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1821392952 |
PAC ID by PECOS | 0547443962 |
Professional Enrollment ID | I20110323000185 |
Full Name | Dillon L Kaesberg |
Address |
605 E Lyons St Marissa IL 62257-1159 |
Gender | M |
Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
Graduation Year | 2010 |
Primary Specialty | CHIROPRACTIC |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
605 E Lyons St, Marissa, IL 62257-1159 |
Street Address |
605 E LYONS ST |
City | MARISSA |
State | IL |
Zip | 62257-1159 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jennifer Adele Demsar | Nurse Practitioner | Sparta Community Hospital Dba Quality Healthcare Clinics | 521 N Borders Ave C, Marissa, IL 62257-1195 |
Dana C Lakatos | Physician Assistant | Sparta Community Hospital Dba Quality Healthcare Clinics | 521 N Borders Ave C, Marissa, IL 62257-1195 |
City | MARISSA |
Zip Code | 62257 |
Specialty | CHIROPRACTIC |
City + Specialty | MARISSA + CHIROPRACTIC |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.