Kenneth Paul Jesunas in Joliet - Otolaryngology

Kenneth Paul Jesunas - NPI 1790723799

Kenneth Paul Jesunas is a Otolaryngology in Joliet, Illinois. Kenneth Paul Jesunas practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Kenneth Paul Jesunas is 1790723799. The last update date is 2007-07-08.

Kenneth Paul Jesunas's current location address is 3077 W Jefferson St, Joliet, Illinois. You can contact this provider via phone number 8157442500 and fax number 8157443550. The mailing address for Kenneth Paul Jesunas is 3077 W Jefferson St, Joliet, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Paul Jesunas
Address 3077 W Jefferson St, Joliet, Illinois
Phone Number 8157442500
Fax Number 8157443550
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1790723799
Provider Enumeration Date 2006-06-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3077 W Jefferson St
City Joliet
State Illinois (IL)
Post Code 604355262
Phone Number 8157442500
Fax Number 8157443550

Provider's Primary Taxonomy Detail

Speciality Otolaryngology
Taxonomy 207Y00000X
Licence No 36 041709
Definition:
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an

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FAQs about Kenneth Paul Jesunas

What is the unique 10-digit identification code assigned to Kenneth Paul Jesunas by the Centers for Medicare & Medicaid Services?

The Kenneth Paul Jesunas has been issued the NPI (National Provider Identifier) 1790723799, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Kenneth Paul Jesunas's facilities are geographically located?

The facilities of Kenneth Paul Jesunas are physically situated at the following location: 3077 W Jefferson St, Joliet, IL, 604355262.

What is Kenneth Paul Jesunas's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kenneth Paul Jesunas's specialized field of practice is Otolaryngology, and the corresponding taxonomy code that categorizes this area of specialization is 207Y00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1790723799 to Kenneth Paul Jesunas?

The Kenneth Paul Jesunas received its 1790723799 assignment from the Centers for Medicare & Medicaid Services on 2006-06-02.

When was the information related to Kenneth Paul Jesunas most recently updated or refreshed?

The details pertaining to the Kenneth Paul Jesunas, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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