Dr. Joshua Bradley Kentosh, DO
Dr. Joshua Bradley Kentosh, DO is a Dermatology in Peoria, Illinois. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2007, 19 years ago. Practices with Soderstrom Dermatology Center S C, a 33-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 19
- Trained at
- Lake Erie College of Osteopathic Medicine, Erie
- Licensed in
- IL
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
4909 N Glen Park PlPeoria, IL 61614-4676
Phone: (309) 674-7546
Fax: (309) 691-9286
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 — (309) 674-7546
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 036.142442 (IL) |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence 036.142442 (IL) |
| Procedural Dermatology Physician | Taxonomy 207NS0135X · Licence 036.142442 (IL) |
Record details
| NPI number | 1902096928 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | Yes |
| NPI enumerated | July 26, 2007 |
| Last updated in NPPES | July 12, 2018 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE |
| Graduated | 2007 (19 years in practice) |
| Group practice | Soderstrom Dermatology Center S C — 33 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |