Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEITH MICHAEL LADENDORF, PA-C
ActiveMR. KEITH MICHAEL LADENDORF, PA-C is a Surgical Physician Assistant healthcare provider located in CHICAGO, Illinois. NPI 1619092095 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · CHICAGO, IL
Registration Details
- NPI Number
- 1619092095
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 21, 2007 (19.44374513609 yrs)
- Last Updated
- Jan 23, 2023
- Licenses
-
085002545 (IL)085-002545 (IL)
Practice Information
- Address
-
7447 W TALCOTT AVENUESUITE 512CHICAGO, IL, 60631Browse IL providers · Browse ZIP 60631
- Phone
- 8477881553
- Fax
- 7735778187
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| JOHN D GNEZDA | — | 1295722296 |
| MRS. SHANA JOHNSON | PA-C | 1346237492 |
| MR. ROBERT F THOMANN | PA-C | 1114914199 |
| MASIHUDDIN SYED QUADRI | — | 1467434340 |
| MR. EMIL ORPILLA | PA-C | 1902880248 |
| JENNIFER MARIE OROZCO | PA-C | 1396715017 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.