| Richard L Kersch, MD | |
|
1221 N Highland Ave, Aurora, IL 60506-1404 | |
| (630) 859-8700 | |
| Not Available |
| Full Name | Richard L Kersch |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 1221 N Highland Ave, Aurora, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487689600 | NPI | - | NPPES |
| 036077480 | Medicaid | IL | |
| L20802 | Other | INDIVIDUAL MEDICARE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 036-077480 (Illinois) | Primary |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003542184 PECOS PAC ID: 7810800935 Enrollment ID: O20220930002728 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard L Kersch, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Richard L Kersch, MD 1221 N Highland Ave, Aurora, IL 60506-1404 Ph: (630) 859-8700 |
Robert J Nudera, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 2040 Ogden Ave, Suite 301, Aurora, IL 60504 Phone: 630-978-6895 Fax: 630-375-2905 | |
Dr. Sanjiv Upadhyay, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2040 Ogden Ave Ste 401, Aurora, IL 60504 Phone: 630-978-6895 Fax: 630-753-2905 | |
Stephen M Kelanic, M.D., F.A.C.S. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2040 Ogden Ave Ste 401, Aurora, IL 60504 Phone: 630-978-6895 Fax: 630-375-2905 | |
Michael C Loebach, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1221 N Highland Ave, Aurora, IL 60506 Phone: 630-859-8700 | |
David Sarcu, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1221 N Highland Ave, Aurora, IL 60506 Phone: 630-859-8700 | |
Bryan W Rubach, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 2040 Ogden Ave Ste 301, Aurora, IL 60504 Phone: 630-978-6895 Fax: 630-375-2905 |