Individual
ANTHONY WILLIAM KITSLAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 EXECUTIVE PL STE 403, GENEVA, IL 60134-2482
(630) 302-3336
(630) 232-4410
Mailing address
1250 EXECUTIVE PL STE 403, GENEVA, IL 60134-2482
(630) 302-3336
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
036072436
IL
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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