Provider Demographics
NPI:1346288354
Name:MARCHESCHI, KERRY ANN (MD)
Entity type:Individual
Prefix:
First Name:KERRY
Middle Name:ANN
Last Name:MARCHESCHI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1890 SILVER CROSS BLVD
Mailing Address - Street 2:SUITE 570
Mailing Address - City:NEW LENOX
Mailing Address - State:IL
Mailing Address - Zip Code:60451-9524
Mailing Address - Country:US
Mailing Address - Phone:815-463-3700
Mailing Address - Fax:815-463-3700
Practice Address - Street 1:1890 SILVER CROSS BLVD
Practice Address - Street 2:SUITE 570
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-9524
Practice Address - Country:US
Practice Address - Phone:815-463-3700
Practice Address - Fax:815-463-3700
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2014-01-21
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Provider Licenses
StateLicense IDTaxonomies
IL036-115116207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine