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Contact Information

JEFFREY KERSHAW, MD
2000 LAKE AVE
WOODSTOCK, IL60098
 Phone: 815-337-7100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for JEFFREY KERSHAW · (Male)

NPI Number 1770641110
Status Active
Credentials MD
Entity Individual
Enumeration date 12/05/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • IL Medicaid 036102674 1
Hospital affiliation(s)
  • MERCY HARVARD HOSPITAL - (Critical Access)
    901 GRANT STREET
    HARVARD, IL 60033
  • MERCY HEALTH SYS CORP - (Acute Care)
    1000 MINERAL POINT AVE
    JANESVILLE, WI 53548
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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