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KERSEY H ANTIA
17716 OAK PARK AVE TINLEY PARK IL 604773936

KERSEY H ANTIA is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1710962683. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 2365572476. The primary specialty is . The organization is . The address is 17716 OAK PARK AVE, , TINLEY PARK, IL, 604773936. The zip code is 604773936.


Nation Provider ID1710962683
PAC ID by PECOS2365572476
Professional Enrollment IDI20100617000027
NameKERSEY H ANTIA
Medical School NameOTHER
Graduation Year1974
Primary Specialty
All secondary specialties
Organization Name
Group Practice PAC ID
Number of Group Practice members0
Address17716 OAK PARK AVE, , TINLEY PARK, IL, 604773936
Hospital affiliation LBN
Graduation Year1974
Contact Number7084606060
Email Address[Show_Email_ID]

Location On Map