# ANTHONY W. KITSLAAR, M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427598432
- **Authorized official:** ANTHONY KITSLAAR M.D. (SOLE PROPRIETOR)
- **Authorized official phone:** (630) 302-3336

## Contact information

- **Practice address:** 1250 EXECUTIVE PL, SUITE 403, GENEVA, IL 60134-3807
- **Practice address phone:** (630) 302-3336
- **Mailing address:** 1250 EXECUTIVE PL, SUITE 403, GENEVA, IL 60134-3807
- **Mailing address phone:** (630) 302-3336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | 036.072436 | IL | Yes |

## Other

- **Enumeration date:** 02/24/2017
- **Last updated:** 02/24/2017