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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1730268590 NPPES
Illinois Other 206147 MEDICARE GROUP
Illinois Other F400385971 MEDICARE GROUP

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