Search › Illinois › 1223P0300X
Kenneth Gerstein, DDS
NPI 1730243056 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1404 Eastland Dr
Bloomington, IL 61701 - Phone
- (309) 663-4711
- Fax
- (309) 663-1854
- Organisation at this address
- Mycare Express Care Inc
My Care Urgent Care Inc
Eastland Dental Center, Ltd.
Associates In Dermatology Sc
Bloomington Normal AudiologyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 1223P0300X
1223P0300X
- Also registered as
- 1223P0300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-09-23
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