Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Keith Leitzen, MD

Individual provider Otolaryngology Physician · NPI 1174754139

Dr. Keith Leitzen, MD is an Otolaryngology in Lake Forest, Illinois. Graduated from University of Minnesota Medical School in 2009, 17 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Virginia.

Years since qualifying
17
Trained at
University of Minnesota Medical School
Licensed in
IL, VA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

800 N Westmoreland Rd Ste 102
Lake Forest, IL 60045-1687
Phone: (847) 535-6464
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 650 Joel Dr, Fort Campbell, KY 42223-5318 — (270) 798-8131

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 036149517 (IL)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 0101250055 (VA)

Record details

NPI number1174754139
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 7, 2009
Last updated in NPPESJune 6, 2019
Mailing address650 Joel Dr, Fort Campbell, KY 42223-5318

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2009 (17 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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