Individual
B ADRIAN KESALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7435 W TALCOTT AVE, CHICAGO, IL 60631-3707
(773) 792-5138
(773) 792-5124
Mailing address
50 N NORTHWEST HWY, # 309, PARK RIDGE, IL 60068-3291
(847) 698-2630
(847) 698-0558
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
036048737
IL
2085N0700X
Neuroradiology Physician
036048737
IL
2085N0904X
Nuclear Radiology Physician
036048737
IL
2085P0229X
Pediatric Radiology Physician
036048737
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036048737
IL
2085R0204X
Vascular & Interventional Radiology Physician
036048737
IL
2085U0001X
Diagnostic Ultrasound Physician
036048737
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001619902
BLUE CROSS BLUE SHIELD-IL
IL
05
—
036048737-3
—
IL
Enumeration date
07/11/2006
Last updated
12/17/2013
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