Healthcare Provider Details

I. General information

NPI: 1568751147
Provider Name (Legal Business Name): MARK ALLEN KERESZTESY D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2011
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1841 HICKS RD STE A
ROLLING MEADOWS IL
60008-1251
US

IV. Provider business mailing address

1841 HICKS RD STE A
ROLLING MEADOWS IL
60008-1251
US

V. Phone/Fax

Practice location:
  • Phone: 224-805-2054
  • Fax:
Mailing address:
  • Phone: 224-805-2054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038.011519
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: