Dr Keith Leitzen, MD | |
800 N Westmoreland Rd Ste 102, Lake Forest, IL 60045-1687 | |
(847) 535-6464 | |
Not Available |
Full Name | Dr Keith Leitzen |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 16 Years |
Location | 800 N Westmoreland Rd Ste 102, Lake Forest, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174754139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 0101250055 (Virginia) | Secondary |
207Y00000X | Otolaryngology | 036149517 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
Northwestern Memorial Hospital | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
Entity Name | Northwestern Medical Faculty Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Mailing Address | Practice Location Address |
---|---|
Dr Keith Leitzen, MD 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 798-8131 | Dr Keith Leitzen, MD 800 N Westmoreland Rd Ste 102, Lake Forest, IL 60045-1687 Ph: (847) 535-6464 |
Dr. Allen Carlins, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 700 N Westmoreland Rd, Building F, Lake Forest, IL 60045 Phone: 847-295-1114 | |
Dr. Alan Freint, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 990 S Waukegan Rd Ste 200, Lake Forest, IL 60045 Phone: 847-234-0555 Fax: 847-234-0355 | |
Dr. Landon Jess Duyka, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 700 N Westmoreland Rd, Suite F, Lake Forest, IL 60045 Phone: 847-295-1114 Fax: 847-295-9373 | |
Dr. Alex B Labby, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 800 N Westmoreland Rd Ste 102, Lake Forest, IL 60045 Phone: 847-535-6536 | |
Dr. Leslie Jay Block, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 700 N Westmoreland Rd, Bld F, Lake Forest, IL 60045 Phone: 847-295-1114 Fax: 847-295-9373 |