Edward J. Keuer MD, LTD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

EDWARD J. KEUER MD, LTD

Practice address

1 S 224 Sumiit Ave
Suite 106
Oakbrook Terrace, IL 60181-3944

Phone

(630) 953-1190

Fax

(630) 953-1102

NPI assigned

Aug 24, 2007

Last updated

Sep 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward J Keuer III, M.D.NPI 1013995679

Title

Office Admin

Phone

(630) 953-1190

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Oakbrook Terrace Dermtology Associates Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward John Keuer, MD

  • Specialist
  • Oakbrook Terrace, IL
  • NPI 1013995679
  Authorized official Same address or phone

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1265625040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S 224 SUMMIT AVE",
            "address_2": "SUITE 106",
            "city": "OAKBROOK TERRRACE",
            "state": "IL",
            "postal_code": "601813944",
            "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": "1 S 224 SUMIIT AVE",
            "address_2": "SUITE 106",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813944",
            "telephone_number": "630-953-1190",
            "fax_number": "630-953-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J. KEUER MD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "KEUER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE ADMIN",
        "authorized_official_telephone_number": "630-953-1190",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA T. ALLEN M.D. NPI NUMBER",
            "identifier": "1356423651",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDWARD J. KEUER M.D. PROVIDER NPI",
            "identifier": "1013995679",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakbrook Terrace Dermtology Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dermatology Physician in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.