IndividualActive
Antasia Kersch
NPI 1801369236 · Medical Physician Assistant · Rockford, IL
Provider details
- NPI number
- 1801369236
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5666 E State St
Rockford, IL 61108-2425
Phone: (815) 226-2000
Approximate (ZIP-level) locationGet directions
Mailing address
5668 E State St Ste 1500
Rockford, IL 61108-2481
Registry dates
- Enumerated
- 2019-01-08
- Last updated
- 2024-07-01
- Certified
- 2024-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.