Organization
ANTHONY W. KITSLAAR, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY KITSLAAR M.D. (SOLE PROPRIETOR)
(630) 302-3336
Entity
Organization
Contact information
Practice address
1250 EXECUTIVE PL, SUITE 403, GENEVA, IL 60134-3807
(630) 302-3336
Mailing address
1250 EXECUTIVE PL, SUITE 403, GENEVA, IL 60134-3807
(630) 302-3336
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
036.072436
IL
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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