Koresch, Kenneth Joe

Koresch, Kenneth Joe is an individual health care provider with primary practice located at 1987 W Galena Blvd. , Aurora IL 60506-4305. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Koresch, Kenneth Joe can be contacted via phone (630) 892-6610.

Contact Information

Primary practice address
1987 W Galena Blvd. Aurora IL 60506-4305
Phone: (630) 892-6610
Fax: (630) 892-6619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046007057 Illinois

Profile Details

NPI number 1093860603
LBN Legal business name Koresch, Kenneth Joe
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Sep 11th, 2009 - about 15 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.

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