| Benjamin Kiesel, MD | |
|
1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | |
| (847) 535-6150 | |
| (847) 535-7801 |
| Full Name | Benjamin Kiesel |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1000 N Westmoreland Rd, Lake Forest, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679947535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 125.074610 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 036164519 (Illinois) | Primary |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Kiesel, MD 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 Ph: (847) 535-6150 | Benjamin Kiesel, MD 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 Ph: (847) 535-6150 |
Christopher C Caudill, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 660 N Westmoreland Rd, Northwestern Lake Forest Hospital Emergency Department, Lake Forest, IL 60045 Phone: 847-535-7917 Fax: 847-535-7801 | |
Paul J Krivickas, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 N. Westmoreland Rd, Lake Forest, IL 60045 Phone: 312-695-6868 | |
Dr. Paul Matthew Been, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-6150 Fax: 847-535-7801 | |
Bonnie Salomon, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-7917 Fax: 847-535-5801 | |
Dr. Victoria Catherine Weston, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-6150 | |
Peter M Mc Cool, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-234-5600 | |
Dr. David Jonathan Kawior, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-234-5600 |