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Individual

DR. KENNETH I RESNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
133 E BRUSH HILL RD STE 300, ELMHURST, IL 60126-5659
(630) 571-1501
(630) 571-5679
Mailing address
133 E BRUSH HILL RD STE 300, ELMHURST, IL 60126-5659
(630) 571-1501
(630) 571-5679

Taxonomy

Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
036.074927
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036074927
IL
01
180009836
RR MEDICARE PIN
IL
01
180040537
RR MEDICARE PIN
IL
01
2201714
BCBS
IL
Enumeration date
06/05/2006
Last updated
03/17/2018
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