Benjamin Kiesel, MD
Emergency Medicine in Lake Forest, IL. Individual provider (NPI-1).
NPI number1679947535
StatusActive
Last updated in NPPESOct 20, 2023
Details
- NPI
- 1679947535
- Entity type
- Individual (NPI-1)
- Name
- Benjamin Kiesel
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2015
- Certification date
- Oct 20, 2023
- Last updated
- Oct 20, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - EMERGENCY MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 036164519 | IL | Yes |
| 207P00000X | Emergency Medicine | 125.074610 | IL |
Practice location
1000 N Westmoreland RdLake Forest, IL 60045-1658
Phone 847-535-6150 · Fax 847-535-7801
Mailing address
1000 N Westmoreland RdLake Forest, IL 60045-1658
Phone 847-535-6150 · Fax 847-535-7801
Other practice locations
240 E Huron St Ste 1-200
Chicago, IL 60611-2909
Chicago, IL 60611-2909
Phone 312-503-7975
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 15 Emergency Medicine Physician providers in Lake Forest · All 978 providers in Lake Forest
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