Moresco, Kenneth P
Moresco, Kenneth P is an individual health care provider with primary practice located at 351 Delnor Dr , Geneva IL 60134-4222. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Moresco, Kenneth P can be contacted via phone (630) 933-8800.Contact Information
Primary practice address
351 Delnor Dr
Geneva IL 60134-4222
Phone: (630) 933-8800
Fax: (630) 933-2009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036-108263 | Illinois |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 036108263 | Illinois |
Profile Details
| NPI number | 1730268590 |
|---|---|
| LBN Legal business name | Moresco, Kenneth P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730268590 | NPPES |
| Illinois | Other | 206147 | MEDICARE GROUP |
| Illinois | Other | F400385971 | MEDICARE GROUP |
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