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Kenneth J Liesen Md Sc
Family Medicine Physician in St Charles, Illinois
NPI 1124223763

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.

Location: 606 Riverside Ave, St Charles, IL, 60174-2969
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124223763
Provider Name
Kenneth J Liesen Md Sc
Credential
Provider Entity Type
Organization
Address
606 Riverside Ave, St Charles, IL, 60174-2969
Phone Number
630-584-8900
Fax Number
630-584-2806
Provider Enumeration Date
06/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036077277 05 IL
966700 01 IL INDIVIDUAL MEDICARE PTAN
036077277 01 IL BCBS
943790 01 IL GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
606 Riverside Ave
City
St Charles
State
Illinois
Zip
60174-2969
Phone Number
630-584-8900
Fax Number
630-584-2806
person
Provider Business Mailing Address Details
Address
606 Riverside Ave
City
St Charles
State
Illinois
Zip
60174-2969
Phone Number
630-584-8900
Fax Number
630-584-2806
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036077277 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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