Individual
KEVIN FRANKLIN SATISKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2323 WINDISH DR, GALESBURG, IL 61401-9780
(269) 352-3906
(269) 352-3906
Mailing address
2323 WINDISH DR, GALESBURG, IL 61401-9780
(309) 344-4200
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
036-116028
IL
2084F0202X
Forensic Psychiatry Physician
036-116028
IL
2084P0800X
Psychiatry Physician
Primary
036-116028
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-116028
MD LICENSE
IL
05
—
036-116028
—
IL
01
—
336-077057
CONTROLLED SUBSTANCE
IL
01
—
370984175
BWAY INC FEIN
IL
Enumeration date
08/31/2006
Last updated
03/26/2024
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