Kresca, James Robert

Kresca, James Robert is an sole proprietor health care provider with primary practice located at 2011 Round Barn Rd , Champaign IL 61821-6825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kresca, James Robert can be contacted via phone (217) 356-2557.

Contact Information

Primary practice address
2011 Round Barn Rd Champaign IL 61821-6825
Phone: (217) 356-2557
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X Illinois

Profile Details

NPI number 1073694303
LBN Legal business name Kresca, James Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073694303 NPPES
Illinois MEDICAID 0336055317

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