Individual
KENNETH P MORESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
351 DELNOR DR, GENEVA, IL 60134-4222
(630) 933-8800
(630) 933-2009
Mailing address
351 DELNOR DR, GENEVA, IL 60134-4222
(630) 933-8800
(630) 933-2009
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036-108263
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036108263
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE GROUP
IL
01
—
F400385971
MEDICARE INDIVIDUAL
IL
Enumeration date
11/03/2006
Last updated
07/21/2022
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