Matthew L Klestinski, D C

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1117 S Milwaukee Avenue Forum Square BLDG B Ste 2
Libertyville, IL 60048

Phone

(847) 204-6998

NPI assigned

Aug 20, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Michael L Klestinski & Associates, P.C.

  • Social Worker
  • Libertyville, IL
  • NPI 1477638948
  NPD
• Michael L Klestinki Acsw & Associates P.C.

  • Clinical Social Worker
  • Libertyville, IL
  • NPI 1093824161
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1366557225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 S MILWAUKEE AVENUE FORUM SQUARE BLDG B STE 2",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "60048",
            "telephone_number": "847-204-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 S MILWAUKEE AVENUE FORUM SQUARE BLDG B STE 2",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "60048",
            "telephone_number": "847-204-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLESTINSKI",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010213",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kind Word Speech Pathology
• Peggy Kirkpatrick, P.T.
• Eric Kirshenbaum, M.D.
• Amanda Klein
• Avery Lucille Klein
• Penelope A Klestinski, LCSW
• Katarzyna Klimas-Osolkowski, MD
• Lauren Kliska, OTR/L
• Allison Klotzbuecher, D.O.
• Paulina Kluchka

• Social Worker in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.