KENNETH P MORESCO (NPI# 1730268590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730268590 |
| Entity Type | Individual |
| Full Name | KENNETH P MORESCO |
| Credential | MD |
| Practice Address |
351 Delnor Dr Geneva IL 60134-4222 |
| Practice Telephone | (630) 933-8800 |
| Practice Fax Number | 6309332009 |
| Mailing Telephone | 6309338800 |
| Mailing Fax Number | 6309332009 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036-108263 | IL | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
036108263 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE INDIVIDUAL | F400385971 | 01 |
| IL | MEDICARE GROUP | 206147 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 25 N Winfield Rd, Winfield, IL 601901295 | 6309334487 | 6309336616 |
| Street Address |
351 DELNOR DR |
| City | GENEVA |
| State | IL |
| Zip Code | 60134-4222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972643 | Paul R Batty | Surgery | 351 Delnor Dr, Ste 406, Geneva, IL 60134-4222 | 2005-06-16 |
| 1376931550 | Elise Noelle Lynch | Nurse Practitioner | 351 Delnor Dr, Suite 100, Geneva, IL 60134-4222 | 2014-12-22 |
| 1780012344 | Central Dupage Physician Group | Orthopaedic Surgery | 351 Delnor Dr, Geneva, IL 60134-4222 | 2013-10-17 |
| 1437586583 | Holley R Harris | Nurse Practitioner | 351 Delnor Dr, Geneva, IL 60134-4220 | 2013-10-03 |
| 1770924847 | Cornerstone Medical Group PC | Family Medicine | 351 Delnor Dr, Geneva, IL 60134-4222 | 2013-07-17 |
| 1437492451 | Wei He | Psychiatry & Neurology | 351 Delnor Dr, Geneva, IL 60134 | 2013-03-27 |
| 1508126897 | Yoomi Kenyon Brendel | Nurse Practitioner | 351 Delnor Dr, Geneva, IL 60134-4220 | 2012-05-21 |
| 1588942775 | Magdeline S Riemenschneider | Physician Assistant | 351 Delnor Dr, Suite 406, Geneva, IL 60134-4222 | 2011-07-22 |
| 1871808998 | Mona S Seaver | Nurse Practitioner | 351 Delnor Dr, Geneva, IL 60134-4220 | 2010-08-12 |
| 1609187590 | Jaclyn Beth Wierzbicki | Surgery | 351 Delnor Dr, Geneva, IL 60134-4220 | 2010-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
| 1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
| 1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
| 1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| 1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
| 1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
| 1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
| 1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
| 1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
| Find all providers in zip 60134 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104378942 | Radiology Subspecialists of Northern Illinois, LLC | Radiology | 825 W State St, Suite 103e, Geneva, IL 60134-2080 | 2016-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1659930998 | Howard Simon Md PC | Radiology | 446 E Ontario St Ste 106, Chicago, IL 60611-7110 | 2019-06-11 |
| 1982119319 | Vein and Vascular Centers, Sc | Radiology | 7 N Grant St Ste 1, Hinsdale, IL 60521-3366 | 2017-12-07 |
| 1114438769 | Advanced Midwest Interventional Radiology, LLC | Radiology | 1890 Silver Cross Blvd Ste 455, New Lenox, IL 60451-9546 | 2017-10-21 |
| 1528440690 | Tarek Jazmati | Radiology | 1653 W Congress Pkwy # 181, Chicago, IL 60612-3833 | 2015-06-24 |
| 1316351232 | Smg Billing, LLC | Radiology | 1105 S. Western Ave., Chicago, IL 60612 | 2014-06-18 |
| 1013270982 | Sean David Pietrini | Radiology | 1500 W Monroe St, Apartment 118, Chicago, IL 60607 | 2012-06-16 |
| 1417240102 | Sameul Hanif | Radiology | 7808 W College Dr Ste 1se, Palos Heights, IL 60463-1095 | 2011-05-27 |
| 1649563842 | Alex Edward Heaton | Radiology | 911 N Elm St Ste 128, Hinsdale, IL 60521-3640 | 2011-05-20 |
| 1932426863 | Lifeline Vascular Access Network, LLC | Radiology | Three Hawthorn Parkway, Suite 410, Vernon Hills, IL 60061-1450 | 2010-05-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.