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

Laurel Kietzman, MD

Individual provider Emergency Medicine Physician · NPI 1336331222

Laurel Kietzman, MD is an Emergency Medicine in Pontiac, Illinois. Graduated from Loyola University of Chicago, Stritch School of Medicine in 1986, 40 years ago. Practices with Methodist Medical Center of Illinois, a 393-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
40
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
IL
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2500 W Reynolds St
Pontiac, IL 61764-9774
Phone: (815) 842-2828
Show map & directions

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

Additional practice locations (1)

  • 515 Irving St, Wheaton, IL 60187 — (630) 752-5072

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036119129 (IL)

Record details

NPI number1336331222
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 14, 2007
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024
Mailing address2500 W Reynolds St, Pontiac, IL 61764-9774

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 1986 (40 years in practice)
Group practice Methodist Medical Center Of Illinois — 393 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Pontiac