Individual
DR. CRAIG KESTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
24600 W 127TH ST, STE B325, PLAINFIELD, IL 60585-9507
(815) 731-9100
Mailing address
24600 W 127TH ST, STE B325, PLAINFIELD, IL 60585-9507
(815) 731-9100
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036105064
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105064
—
IL
01
—
2234315
BCBS
IL
01
—
336065854
LIC PHY SURG CONTROL SUB
IL
Enumeration date
10/28/2006
Last updated
03/07/2023
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