Individual
KENNETH IRWIN SCHLESINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-5448
Mailing address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-5448
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
14466
SC
207L00000X
Anesthesiology Physician
Primary
ME54525
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07942
BCBS
FL
05
—
144668
—
SC
05
—
277909900
—
FL
01
—
5863129
AETNA GTBA
FL
01
—
AE953Z
MEDICARE GTBA REASSIGN
FL
01
—
C86333
UPIN
—
Enumeration date
08/01/2006
Last updated
03/27/2013
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