Dr LAUREL I KIETZMAN is a female medical professional, specializing in Emergency Medicine. She graduated in 1986 from Loyola University Of Chicago, Stritch School Of Medicine.
CEPAMERICA ILLINOIS LLP
333 MADISON ST
JOLIET
IL
604358200
Tel: 8157257133
| Npi | 1336331222 |
| Pac Id | 7214108273 |
| Professional Enrollment Id | I20110922000662 |
| Last Name | KIETZMAN |
| First Name | LAUREL |
| Middle Name | I |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| All Secondary Specialties | |
| Organization Legal Name | CEPAMERICA ILLINOIS LLP |
| Group Practice Pac Id | 3274793633 |
| Number Of Group Practice Members | 62 |
| Line 1 Street Address | 333 MADISON ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | JOLIET |
| State | IL |
| Zip Code | 604358200 |
| Phone Number | 8157257133 |
| Hospital Affiliation Ccn 1 | 140174 |
| Hospital Affiliation Lbn 1 | PRESENCE MERCY MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 140155 |
| Hospital Affiliation Lbn 2 | PRESENCE ST MARYS HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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