Search › Illinois › 1223E0200X
Lee Ceresa, D.D.S
NPI 1063513117 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1601 4th St
Peru, IL 61354 - Phone
- (815) 224-3636
- Fax
- (815) 220-1479
- Organisation at this address
- Illinois Valley Endodontics Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223E0200X
1223E0200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-09-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois