1285727214 NPI number — LAWRENCE KESSLER AND ASSOC.,LTD.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285727214 NPI number — LAWRENCE KESSLER AND ASSOC.,LTD.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LAWRENCE KESSLER AND ASSOC.,LTD.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285727214
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/26/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1514 W CHARLES ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHAMPAIGN
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
61821-4427
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
217-377-2360
Provider Business Mailing Address Fax Number:
217-398-2801

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
44 E. MAIN STREET
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
CHAMPAIGN
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
61820-3636
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
217-356-5377
Provider Business Practice Location Address Fax Number:
217-356-5379
Provider Enumeration Date:
10/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KESSLER
Authorized Official First Name:
LAWRENCE
Authorized Official Middle Name:
HOWARD
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
217-377-2360

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  046-6931 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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