person
Mr. Keith Michael Ladendorf, PA-C
Surgical Physician Assistant in Chicago, Illinois
NPI 1619092095

Keith Michael Ladendorf is a Surgical Physician Assistant based in Downers Grove, IL and is specialized in Surgical. Keith Michael Ladendorf practices in Chicago, IL and has the professional credentials of PA-C. The NPI Number for Keith Michael Ladendorf is 1619092095 and holds a License No. 085002545 (Illinois).

The current practice location address for Keith Michael Ladendorf is 7447 W Talcott Avenue, Chicago, IL and can be reached out via phone at 847-788-1553 and via fax at 773-577-8187.

Location: 7447 W Talcott Avenue, Chicago, IL, 60515
person
Provider Profile Details
NPI Number
1619092095
Provider Name
Keith Michael Ladendorf
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
7447 W Talcott Avenue, Chicago, IL, 60515
Phone Number
847-788-1553
Fax Number
773-577-8187
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7447 W Talcott Avenue
City
State
Zip
60631
Phone Number
847-788-1553
Fax Number
773-577-8187
person
Provider Business Mailing Address Details
Address
7447 W Talcott Avenue
City
State
Zip
60631
Phone Number
847-788-1553
Fax Number
773-577-8187
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
085002545 (Illinois)
Definition
Definition to come...
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