Individual
DR. JASON F. KESSELRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
304 MADISON AVE, MADISON, IL 62060-1110
(618) 452-1129
(618) 452-1147
Mailing address
304 MADISON AVE, MADISON, IL 62060-1110
(618) 452-1129
(618) 452-1147
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-115073
IL
Other
Enumeration date
07/28/2006
Last updated
11/18/2011
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