Resnick, Kenneth I
Resnick, Kenneth I is an individual health care provider with primary practice located at 133 E Brush Hill Rd Ste 300 , Elmhurst IL 60126-5659. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Resnick, Kenneth I can be contacted via phone (630) 571-1501.Contact Information
Primary practice address
133 E Brush Hill Rd Ste 300
Elmhurst IL 60126-5659
Phone: (630) 571-1501
Fax: (630) 571-5679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 036.074927 | Illinois |
Profile Details
| NPI number | 1790724045 |
|---|---|
| LBN Legal business name | Resnick, Kenneth I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Mar 17th, 2018 - about 7 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 | 1790724045 | NPPES |
| Illinois | Other | 180009836 | RR MEDICARE PIN |
| Illinois | Other | 180040537 | RR MEDICARE PIN |
| Illinois | MEDICAID | 036074927 | RR MEDICARE PIN |
| Illinois | Other | 2201714 | RR MEDICARE PIN |
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