Organization
CORE ORTHOPEDICS & SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL T KUESIS M.D. (OWNER)
(847) 690-1776
Entity
Organization
Contact information
Practice address
555 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3306
(847) 690-1776
(847) 690-1777
Mailing address
555 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3306
(847) 690-1776
(847) 690-1777
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG8924
RR MEDICARE
—
Enumeration date
06/07/2007
Last updated
02/26/2024
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