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

Mr. Keith Michael Ladendorf, PA-C

Individual provider Surgical Physician Assistant · NPI 1619092095

Mr. Keith Michael Ladendorf, PA-C is a Physician Assistant in Chicago, Illinois. Qualified in 2005, 21 years ago. Practices with Cardiac Surgery Associates SC, a 45-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
21
Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7447 W Talcott Ave Ste 512
Chicago, IL 60631
Phone: (847) 788-1553
Fax: (773) 577-8187
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 — (776) 775-2800

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085002545 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085-002545 (IL)

Record details

NPI number1619092095
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 21, 2007
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Cardiac Surgery Associates Sc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Chicago