Search › Illinois › 225700000X
Justin Keller
NPI 1063341030 · on the registry since 2026 · sole proprietor
Practice
- Address
- 920 White Oak Ln
University Park, IL 60484 - Phone
- (779) 379-2636
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois