Edward John Keuer, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

F1094 Issued in TX

Practice address

1S 224 Summit Ave
Suite 106
Oakbrook Terrace, IL 60181

Phone

(630) 953-1190

Fax

(630) 953-1102

NPI assigned

Jan 4, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)
• Neil F Haddock MD PA

  • Specialist
  • San Antonio, TX
  • NPI 1215229992
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1013995679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 S WASHINGTON ST",
            "address_2": "SUITE 106",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245239",
            "telephone_number": "630-953-1190",
            "fax_number": "630-953-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S 224 SUMMIT AVE",
            "address_2": "SUITE 106",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "60181",
            "telephone_number": "630-953-1190",
            "fax_number": "630-953-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEUER",
        "first_name": "EDWARD",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036052394",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "F1094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE NPI",
            "identifier": "1265625040",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21608341",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36052394",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Silpa Katta, M.D.
• Suzanne Kavic, MD
• Douglas L. Kay, D.D.S.
• Helen Kenmotsu
• Karina Kennedy, PT, DPT
• Kevin Saladino Psychiatry PLLC
• Mohamed Khalif, R.NCS.T
• Qutaibah Khatib, M.D.
• Krishdeep Khosla, MD
• Kids First Therapy Services Inc.

• Specialist in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.