Anthony William Kitslaar, MD

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

036072436 Issued in IL

Practice address

1250 Executive PL Ste 403
Geneva, IL 60134-2482

Phone

(630) 302-3336

Fax

(630) 232-4410

NPI assigned

Feb 4, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Anthony W. Kitslaar, M.D.

  • Occupational Medicine Clinic/Center
  • Geneva, IL
  • NPI 1427598432
  NPD (past) Authorized official

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1245795293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 EXECUTIVE PL STE 403",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342482",
            "telephone_number": "630-302-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 EXECUTIVE PL STE 403",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342482",
            "telephone_number": "630-302-3336",
            "fax_number": "630-232-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITSLAAR",
        "first_name": "ANTHONY",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "IL",
            "license": "036072436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin M King, MD
• Lesliann King, ED.D.
• Eric Andrew Kirkman, PTA
• Alexis Kissane, RBT-18-47109
• Miki Kitahata, OD
• Rose Marie Klein, LPC
• KLG Counseling Services, P.C.
• Bryanna Klinetobe
• Amanda Klosterman, D.C.
• Nicole Knecht, RD

• Aerospace Medicine Physician in Geneva, IL
• Providers in Geneva, IL by specialty
• Aerospace Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.