Kenneth Joe Koresch in Downers Grove - Optometrist

Kenneth Joe Koresch - NPI 1093860603

Kenneth Joe Koresch is a Optometrist in Downers Grove, Illinois. Kenneth Joe Koresch practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kenneth Joe Koresch is 1093860603. The last update date is 2009-09-11.

Kenneth Joe Koresch's current location address is 5308 Grand Ave, Downers Grove, Illinois. You can contact this provider via phone number 6309604167. The mailing address for Kenneth Joe Koresch is 5308 Grand Ave, Downers Grove, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Joe Koresch
Address 5308 Grand Ave, Downers Grove, Illinois
Phone Number 6309604167
Fax Number
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1093860603
Provider Enumeration Date 2007-01-24
Last Updated Date 2009-09-11

Provider Mailing Address Detail

Address 5308 Grand Ave
City Downers Grove
State Illinois (IL)
Post Code 605155118
Phone Number 6309604167
Fax Number

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 46007057
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

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FAQs about Kenneth Joe Koresch

What is the unique identifier code issued to Kenneth Joe Koresch by the Centers for Medicare & Medicaid Services?

The Kenneth Joe Koresch has been assigned the NPI (National Provider Identifier) 1093860603. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Kenneth Joe Koresch is geographically located?

The Kenneth Joe Koresch is physically situated at the following location: 5308 Grand Ave, Downers Grove, IL, 605155118.

What is Kenneth Joe Koresch's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kenneth Joe Koresch is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.

On what date did Kenneth Joe Koresch receive its 1093860603 assignment from the Centers for Medicare & Medicaid Services?

The Kenneth Joe Koresch was assigned its 1093860603 on 2007-01-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Kenneth Joe Koresch last refreshed?

The information related to the Kenneth Joe Koresch, including its address, specialty, and other relevant details, was last updated on 2009-09-11.

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