Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730596370 Individual Practitioner Male Practitioner

Keith Destefano , LMT

Massage Therapist • Hillside, IL

Professional Overview & Biography Verified Profile Summary

Keith Destefano, LMT is a registered healthcare professional specializing in Massage Therapist in Hillside, IL. Practice services are available at 320 HIGH RIDGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

320 High Ridge Rd

Hillside, IL 601621621

Telephone 7084208923

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Hillside, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Hillside, IL (1467 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License IL 227013561

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 15, 2014

NPI status registered as active in NPPES database

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Updated Practice Location July 15, 2014

Registered at 320 HIGH RIDGE RD, HILLSIDE, IL 601621621 (Tel: 7084208923)

📍
Updated Business Mailing Address July 15, 2014

Registered at 320 HIGH RIDGE RD, HILLSIDE, IL 601621621 (Tel: 7084208923)

👤
Provider Name / Credentials Updated July 15, 2014

Recorded as KEITH DESTEFANO, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2014

Massage Therapist (License #227013561 in IL)

🟢
Initial NPI Registration & Enumeration July 15, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730596370
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2014
Last Update: July 15, 2014
Sole Proprietor: Yes

Mailing Address

320 High Ridge Rd

Hillside, IL 601621621

Phone: 7084208923

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.