Provider Demographics
NPI:1902067218
Name:KRIEZELMAN, JUSTIN DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:DAVID
Last Name:KRIEZELMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:800 W CENTRAL RD
Mailing Address - Street 2:EMERGENCY DEPARTMENT/ NORTHWEST COMMUNITY HOSPITAL
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-2349
Mailing Address - Country:US
Mailing Address - Phone:847-618-3040
Mailing Address - Fax:847-618-3049
Practice Address - Street 1:800 W CENTRAL RD
Practice Address - Street 2:EMERGENCY DEPARTMENT/ NORTHWEST COMMUNITY HOSPITAL
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-2349
Practice Address - Country:US
Practice Address - Phone:847-618-3040
Practice Address - Fax:847-618-3049
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2021-05-24
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Provider Licenses
StateLicense IDTaxonomies
IL036120990207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine