Individual
SUSAN KEESHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 SKOKIE BLVD, NORTHBROOK, IL 60062-4012
(847) 510-5620
(847) 412-6440
Mailing address
900 SKOKIE BLVD, NORTHBROOK, IL 60062-4012
(847) 510-5620
(847) 412-6440
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036-090213
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090213
—
IL
01
—
250012119
RAILROAD MEDICARE
IL
01
—
250012120
RAILROAD MEDICARE
IL
Enumeration date
07/31/2006
Last updated
04/26/2022
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