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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 ID||1710962683|
|PAC ID by PECOS||2365572476|
|Professional Enrollment ID||I20100617000027|
|Name||KERSEY H ANTIA|
|Medical School Name||OTHER|
|All secondary specialties|
|Group Practice PAC ID|
|Number of Group Practice members||0|
|Address||17716 OAK PARK AVE, , TINLEY PARK, IL, 604773936|
|Hospital affiliation LBN|