Healthcare Provider Details

I. General information

NPI: 1134186406
Provider Name (Legal Business Name): KATHY SESKIEWICZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9401 ACKMAN RD
LAKE IN THE HILLS IL
60156-9706
US

IV. Provider business mailing address

9401 ACKMAN RD
LAKE IN THE HILLS IL
60156-9706
US

V. Phone/Fax

Practice location:
  • Phone: 224-569-4100
  • Fax: 224-569-4101
Mailing address:
  • Phone: 224-569-4100
  • Fax: 224-569-4101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036093941
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: