Edward John Keuer
Dermatologist
1s 224 Summit Ave Suite 106
Oakbrook Terrace
, Illinois 60181
Edward John Keuer
Dermatologist
1s 224 Summit Ave Suite 106
Oakbrook Terrace
, Illinois 60181
(630) 953-1102
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Edward John Keuer
- 753 S Washington St Suite 106
- Fredericksburg, TX
- Zip : 78624-5239
- Fax : (630) 953-1102
- Phone : (630) 953-1190
Second Address
- Edward John Keuer
- 1s 224 Summit Ave Suite 106
- Oakbrook Terrace, IL
- Zip : 60181
- Fax : (630) 953-1102
- Phone : (630) 953-1190
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 036052394 | IL |
National Provider Identifier
| NPI | 1013995679 |
|---|---|
| Provider Name | Edward John Keuer |
| First Address | Fredericksburg, TX 78624-5239 |
| Second Address | Oakbrook Terrace, IL 60181 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/01/2006 |
| Last Update Date | 14/07/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1265625040 | PRACTICE NPI (01) | IL |
| 21608341 | BCBS (01) | IL |
| 36052394 | (05) | IL |
| D13949 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.