Kenneth J Liesen Md Sc is a Family Medicine Physician based in St Charles, IL. Kenneth J Liesen Md Sc practices in St Charles, IL. The NPI Number for Kenneth J Liesen Md Sc is 1124223763 and holds a License No. 036077277 (Illinois).
The current practice location address for Kenneth J Liesen Md Sc is 606 Riverside Ave, St Charles, IL and can be reached out via phone at 630-584-8900 and via fax at 630-584-2806. You can also correspond with Kenneth J Liesen Md Sc through the mailing address at 606 RIVERSIDE AVE, ST CHARLES, IL - 60174-2969 (mailing address contact number: 630-584-8900).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036077277 | 05 | IL | |
| 966700 | 01 | IL | INDIVIDUAL MEDICARE PTAN |
| 036077277 | 01 | IL | BCBS |
| 943790 | 01 | IL | GROUP PTAN |
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