Individual
MR. KEITH L SCHAIBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3317 W 95TH ST, SUITE 100, EVERGREEN PARK, IL 60805-2243
(708) 423-5402
(708) 423-5733
Mailing address
3317 W 95TH ST, SUITE 100, EVERGREEN PARK, IL 60805-2243
(708) 423-5402
(708) 423-5733
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31604320
BC/BS
IL
Enumeration date
09/15/2006
Last updated
07/08/2007
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