Kenneth J Liesen MD SC
Kenneth J Liesen MD SC is a Family Medicine Physician in St Charles, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
606 Riverside AveSt Charles, IL 60174-2969
Phone: (630) 584-8900
Fax: (630) 584-2806
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 036077277 (IL) |
|---|
Record details
| NPI number | 1124223763 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Liesen — Medical Doctor · (630) 584-8900 |
| NPI enumerated | June 15, 2007 |
| Last updated in NPPES | January 17, 2014 |
| Mailing address | 606 Riverside Ave, St Charles, IL 60174-2969 |
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