Individual
EDWARD JOHN KEUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1S 224 SUMMIT AVE, SUITE 106, OAKBROOK TERRACE, IL 60181
(630) 953-1190
(630) 953-1102
Mailing address
753 S WASHINGTON ST, SUITE 106, FREDERICKSBURG, TX 78624-5239
(630) 953-1190
(630) 953-1102
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F1094
TX
207N00000X
Dermatology Physician
036052394
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265625040
PRACTICE NPI
IL
01
—
21608341
BCBS
IL
05
—
36052394
—
IL
Enumeration date
01/04/2006
Last updated
07/14/2016
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