Individual
DR. DANIEL T KUESIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3306
(847) 690-1776
(847) 690-1777
Mailing address
555 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3306
(847) 690-1776
(847) 690-1777
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
036-106102
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01637533
BCBSIL
IL
05
—
036106102
—
IL
01
—
200045103
RAILROAD MEDICARE #
IL
Enumeration date
07/26/2005
Last updated
12/07/2021
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