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Individual

RICHARD L KERSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1221 N HIGHLAND AVE, AURORA, IL 60506-1404
(630) 859-8700
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036-077480
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036077480
IL
01
L20802
INDIVIDUAL MEDICARE #
Enumeration date
07/12/2006
Last updated
03/13/2024
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