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Home > OH Providers > Diagnostic Radiologists

Dr. Paul L. Chesis, MD

(No ratings)

Specializes in: Interventional Radiology/Diagnostic Radiology (IR/DR) and Diagnostic Radiology

1675 E Main Street Box 328
Kent, OH 44240

(330) 593-1049

Dr. Paul L. Chesis, MD is a radiologist in Kent, OH specializing in interventional radiology/diagnostic radiology (ir/dr) and diagnostic radiology.

Office Locations

1675 E Main Street Box 328
Kent, OH 44240

(330) 593-1049

(330) 572-3836

open_in_new

In The News

“"We wanted to democratize this information," said Dr. Paul Chesis, a UCLA radiologist who engineered the software.”—"Dead Killer Becomes Online Body of Knowledge", Los Angeles Times, January 1996

Noteworthy Medicare Patient Procedures Performed by Dr. Paul L. Chesis, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

neck ultrasound

In 2023, Dr. Paul L. Chesis, MD performed more neck ultrasound procedures for Medicare patients than 95% of providers in related specialties within Ohio.

Top 10%

By Volume:

aspiration procedures

nuclear scan

thoracentesis

ultrasound

In 2023, Dr. Paul L. Chesis, MD performed more aspiration procedures, nuclear scan, thoracentesis, and ultrasound (sonogram) procedures for Medicare patients than 90% of providers in related specialties within Ohio.

Top 25%

By Volume:

carotid duplex ultrasound

myocardial perfusion SPECT

vascular procedures

vascular ultrasound

In 2012, Dr. Paul L. Chesis, MD performed more carotid duplex ultrasound, myocardial perfusion SPECT, vascular procedures, and vascular ultrasound procedures for Medicare patients than 75% of providers in related specialties within Ohio.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Paul L. Chesis, MD treated as a radiologist in Kent, OH during 2012 were X-rays, thoracic (chest) imaging, CT scan and brain imaging (neuroimaging).

Volume of procedures performed by Dr. Paul L. Chesis, MD for Medicare patients.

abdominal imaging	196
angioplasty	58
aspiration	28
bone marrow tests	17
brain imaging (neuroimaging)	292
cardiac procedures	61
catheterization	55
CT scan	382
diagnostic procedures	34
dialysis access procedures	73
hip imaging	42
minimally invasive procedures	37
minor procedures	17
MRI (magnetic resonance imaging)	96
musculoskeletal imaging	141
neck imaging	26
nuclear scan	85
pelvic imaging	158
pleural drainage	17
spinal procedures	147
stress testing	61
thoracic (chest) imaging	849
thrombectomy (blood clot removal)	20
ultrasound (sonogram)	150
vascular procedures	98
women's imaging	17
X-rays	1164

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Paul L. Chesis, MD treated as a radiologist in Kent, OH during 2013 were X-rays, thoracic (chest) imaging, CT scan and brain imaging (neuroimaging).

Volume of procedures performed by Dr. Paul L. Chesis, MD for Medicare patients.

abdominal imaging	216
angioplasty	21
aspiration	40
bone marrow tests	11
brain imaging (neuroimaging)	226
cardiac procedures	60
catheterization	33
CT scan	308
diagnostic procedures	11
dialysis access procedures	18
hip imaging	50
MRI (magnetic resonance imaging)	104
musculoskeletal imaging	138
neck imaging	25
nuclear scan	72
pelvic imaging	114
pleural drainage	22
spinal procedures	135
stress testing	60
thoracic (chest) imaging	807
ultrasound (sonogram)	167
vascular procedures	18
X-rays	1045

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul L. Chesis, MD.

**Gender**
Male	750
Female	1096

**Ethnicity**
Non-Hispanic White	1709
Black	97
Hispanic	0
Asian	0
Other	20
Native American	0

**Age**
From 65 to 74	669
From 75 to 84	506
85 and over	279
Less than 65	392

Conditions of Medicare patients treated by Dr. Paul L. Chesis, MD in 2013

Hypertension	75
High Cholesterol	59
Stroke	13
Ischemic Heart Disease	47
Depression	39
Chronic Kidney Disease	41
Asthma	10
Osteoperosis	12
Atrial Fibrilation	19
Heart Failure	35
Chronic Obstructive Pulmonary Disease	36
Diabetes	38
Dementia	32
Cancer	17

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Paul L. Chesis, MD treated as a radiologist in Kent, OH during 2014 were X-rays, thoracic (chest) imaging, CT scan and ultrasound (sonogram).

Volume of procedures performed by Dr. Paul L. Chesis, MD for Medicare patients.

abdominal imaging	411
aspiration	60
brain imaging (neuroimaging)	177
catheterization	24
CT scan	504
diagnostic procedures	15
hip imaging	90
image guided procedures	19
minimally invasive procedures	34
minor procedures	15
MRI (magnetic resonance imaging)	16
musculoskeletal imaging	221
neck imaging	31
nuclear scan	64
pelvic imaging	221
pleural drainage	17
spinal procedures	118
thoracic (chest) imaging	817
ultrasound (sonogram)	487
vascular procedures	224
X-rays	1080

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul L. Chesis, MD.

**Gender**
Male	873
Female	1239

**Ethnicity**
Non-Hispanic White	1774
Black	262
Hispanic	53
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	672
From 75 to 84	539
85 and over	435
Less than 65	466

Conditions of Medicare patients treated by Dr. Paul L. Chesis, MD in 2014

Hypertension	75
High Cholesterol	64
Stroke	13
Ischemic Heart Disease	46
Depression	35
Chronic Kidney Disease	45
Asthma	13
Osteoperosis	10
Atrial Fibrilation	23
Heart Failure	38
Chronic Obstructive Pulmonary Disease	31
Diabetes	43
Dementia	21
Cancer	16

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Paul L. Chesis, MD treated as a radiologist in Kent, OH during 2015 were X-rays, ultrasound (sonogram), thoracic (chest) imaging and abdominal imaging.

Volume of procedures performed by Dr. Paul L. Chesis, MD for Medicare patients.

abdominal imaging	444
aspiration	196
bone marrow tests	45
brain imaging (neuroimaging)	128
cardiac procedures	34
catheterization	26
CT scan	282
diagnostic procedures	106
endocrine imaging	17
hip imaging	62
image guided procedures	48
minimally invasive procedures	115
minor procedures	61
musculoskeletal imaging	277
neck imaging	75
nuclear scan	137
pelvic imaging	226
pleural drainage	82
spinal procedures	81
stress testing	34
thoracic (chest) imaging	704
thoracostomy	27
thyroid function tests	17
ultrasound (sonogram)	815
vascular procedures	345
women's imaging	12
X-rays	1023

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul L. Chesis, MD.

**Gender**
Male	2140
Female	2544

**Ethnicity**
Non-Hispanic White	3944
Black	570
Hispanic	102
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	1602
From 75 to 84	1310
85 and over	860
Less than 65	912

Conditions of Medicare patients treated by Dr. Paul L. Chesis, MD in 2015

Hypertension	75
High Cholesterol	65
Stroke	15
Ischemic Heart Disease	45
Depression	33
Chronic Kidney Disease	47
Asthma	21
Osteoperosis	9
Atrial Fibrilation	23
Heart Failure	35
Chronic Obstructive Pulmonary Disease	29
Diabetes	44
Dementia	19
Cancer	17

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Paul L. Chesis, MD treated as a radiologist in Kent, OH during 2016 were X-rays, thoracic (chest) imaging, ultrasound (sonogram) and CT scan.

Volume of procedures performed by Dr. Paul L. Chesis, MD for Medicare patients.

abdominal imaging	510
aspiration	151
bone marrow tests	27
brain imaging (neuroimaging)	263
cardiac procedures	181
catheterization	30
cholecystostomy (gallbladder drainage)	11
CT scan	544
diagnostic imaging	12
diagnostic procedures	82
gastrointestinal procedures	30
image guided procedures	47
minimally invasive procedures	103
minor procedures	55
MRI (magnetic resonance imaging)	34
musculoskeletal imaging	234
neck imaging	61
nuclear scan	270
pelvic imaging	169
pleural drainage	58
preventive care	14
spinal procedures	99
stress testing	181
thoracic (chest) imaging	1232
thoracostomy	22
ultrasound (sonogram)	799
vascular procedures	377
X-rays	1431

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul L. Chesis, MD.

**Gender**
Male	1421
Female	1720

**Ethnicity**
Non-Hispanic White	2655
Black	387
Hispanic	54
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	1144
From 75 to 84	872
85 and over	536
Less than 65	589

Conditions of Medicare patients treated by Dr. Paul L. Chesis, MD in 2016

Hypertension	75
High Cholesterol	67
Stroke	13
Ischemic Heart Disease	46
Depression	34
Chronic Kidney Disease	53
Asthma	33
Osteoperosis	9
Atrial Fibrilation	22
Heart Failure	37
Chronic Obstructive Pulmonary Disease	31
Diabetes	45
Dementia	20
Cancer	16

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Paul L. Chesis, MD treated as a radiologist in Kent, OH during 2017 were X-rays, thoracic (chest) imaging, CT scan and ultrasound (sonogram).

Volume of procedures performed by Dr. Paul L. Chesis, MD for Medicare patients.

abdominal imaging	520
brain imaging (neuroimaging)	244
catheterization	73
CT scan	641
diagnostic procedures	15
doctor visit	23
minimally invasive procedures	15
minor procedures	15
MRI (magnetic resonance imaging)	130
musculoskeletal imaging	418
neck imaging	52
pelvic imaging	332
preventive care	47
spinal procedures	172
thoracic (chest) imaging	1480
ultrasound (sonogram)	588
vascular procedures	51
women's imaging	54
X-rays	1776

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul L. Chesis, MD.

**Gender**
Male	1101
Female	1671

**Ethnicity**
Non-Hispanic White	2691
Black	0
Hispanic	0
Asian	11
Other	52
Native American	0

**Age**
From 65 to 74	1160
From 75 to 84	945
85 and over	385
Less than 65	282

Conditions of Medicare patients treated by Dr. Paul L. Chesis, MD in 2017

Hypertension	67
High Cholesterol	44
Stroke	5
Ischemic Heart Disease	32
Depression	26
Chronic Kidney Disease	27
Asthma	8
Osteoperosis	8
Atrial Fibrilation	16
Heart Failure	20
Chronic Obstructive Pulmonary Disease	19
Diabetes	25
Dementia	11
Cancer	13

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Paul L. Chesis, MD treated as a radiologist in Kent, OH during 2018 were X-rays, CT scan, ultrasound (sonogram) and musculoskeletal imaging.

Volume of procedures performed by Dr. Paul L. Chesis, MD for Medicare patients.

abdominal imaging	369
brain imaging (neuroimaging)	168
catheterization	65
CT scan	483
diagnostic procedures	34
doctor visit	32
minimally invasive procedures	34
minor procedures	34
MRI (magnetic resonance imaging)	113
musculoskeletal imaging	392
neck imaging	44
nuclear scan	12
pelvic imaging	238
preventive care	42
spinal procedures	214
thoracic (chest) imaging	261
ultrasound (sonogram)	398
vascular procedures	34
women's imaging	37
X-rays	629

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul L. Chesis, MD.

**Gender**
Male	1029
Female	1615

**Ethnicity**
Non-Hispanic White	2554
Black	0
Hispanic	0
Asian	0
Other	63
Native American	0

**Age**
From 65 to 74	1079
From 75 to 84	874
85 and over	430
Less than 65	261

Conditions of Medicare patients treated by Dr. Paul L. Chesis, MD in 2018

Hypertension	69
High Cholesterol	55
Stroke	5
Ischemic Heart Disease	33
Depression	29
Chronic Kidney Disease	28
Asthma	7
Osteoperosis	8
Atrial Fibrilation	16
Heart Failure	20
Chronic Obstructive Pulmonary Disease	19
Diabetes	25
Dementia	12
Cancer	14

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Paul L. Chesis, MD treated as a radiologist in Kent, OH during 2019 were ultrasound (sonogram), X-rays, CT scan and abdominal imaging.

Volume of procedures performed by Dr. Paul L. Chesis, MD for Medicare patients.

abdominal imaging	421
anastomosis	11
aspiration	104
brain imaging (neuroimaging)	156
cardiac procedures	11
catheterization	51
CT scan	457
diagnostic procedures	55
gastrointestinal procedures	11
minimally invasive procedures	77
minor procedures	55
MRI (magnetic resonance imaging)	49
musculoskeletal imaging	268
neck imaging	69
nuclear scan	11
pelvic imaging	221
pleural drainage	58
preventive care	21
spinal procedures	207
stress testing	11
thoracic (chest) imaging	206
thoracostomy	11
ultrasound (sonogram)	715
vascular procedures	330
women's imaging	18
X-rays	506

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul L. Chesis, MD.

**Gender**
Male	1224
Female	1745

**Ethnicity**
Non-Hispanic White	2761
Black	119
Hispanic	17
Asian	0
Other	61
Native American	0

**Age**
From 65 to 74	1241
From 75 to 84	904
85 and over	524
Less than 65	300

Conditions of Medicare patients treated by Dr. Paul L. Chesis, MD in 2019

Hypertension	75
High Cholesterol	67
Stroke	6
Ischemic Heart Disease	37
Depression	30
Chronic Kidney Disease	45
Asthma	9
Osteoperosis	8
Atrial Fibrilation	16
Heart Failure	28
Chronic Obstructive Pulmonary Disease	29
Diabetes	31
Dementia	14
Cancer	17

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Paul L. Chesis, MD treated as a radiologist in Kent, OH during 2020 were ultrasound (sonogram), CT scan, abdominal imaging and X-rays.

Volume of procedures performed by Dr. Paul L. Chesis, MD for Medicare patients.

abdominal imaging	404
aspiration	103
brain imaging (neuroimaging)	104
cardiac procedures	39
catheterization	36
CT scan	429
diagnostic procedures	47
minimally invasive procedures	47
minor procedures	47
musculoskeletal imaging	176
neck imaging	57
nuclear scan	61
pelvic imaging	253
pleural drainage	46
preventive care	38
spinal procedures	121
stress testing	39
thoracic (chest) imaging	215
ultrasound (sonogram)	629
vascular procedures	283
women's imaging	22
X-rays	365

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul L. Chesis, MD.

**Gender**
Male	1020
Female	1321

**Ethnicity**
Non-Hispanic White	2187
Black	85
Hispanic	19
Asian	0
Other	39
Native American	0

**Age**
From 65 to 74	1027
From 75 to 84	689
85 and over	402
Less than 65	223

Conditions of Medicare patients treated by Dr. Paul L. Chesis, MD in 2020

Hypertension	75
High Cholesterol	71
Stroke	7
Ischemic Heart Disease	37
Depression	28
Chronic Kidney Disease	48
Asthma	8
Osteoperosis	10
Atrial Fibrilation	16
Heart Failure	28
Chronic Obstructive Pulmonary Disease	27
Diabetes	33
Dementia	16
Cancer	17

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Paul L. Chesis, MD treated as a radiologist in Kent, OH during 2021 were ultrasound (sonogram), abdominal imaging, X-rays and CT scan.

Volume of procedures performed by Dr. Paul L. Chesis, MD for Medicare patients.

abdominal imaging	369
aspiration	83
brain imaging (neuroimaging)	84
cardiac procedures	56
catheterization	17
CT scan	320
diagnostic procedures	19
minimally invasive procedures	19
minor procedures	19
musculoskeletal imaging	196
neck imaging	76
nuclear scan	82
pelvic imaging	185
pleural drainage	46
spinal procedures	120
stress testing	56
thoracic (chest) imaging	124
ultrasound (sonogram)	524
vascular procedures	239
X-rays	349

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul L. Chesis, MD.

**Gender**
Male	1015
Female	1243

**Ethnicity**
Non-Hispanic White	2111
Black	77
Hispanic	0
Asian	0
Other	42
Native American	0

**Age**
From 65 to 74	1016
From 75 to 84	696
85 and over	361
Less than 65	185

Conditions of Medicare patients treated by Dr. Paul L. Chesis, MD in 2021

Hypertension	75
High Cholesterol	72
Stroke	7
Ischemic Heart Disease	38
Depression	26
Chronic Kidney Disease	49
Asthma	7
Osteoperosis	9
Atrial Fibrilation	16
Heart Failure	30
Chronic Obstructive Pulmonary Disease	25
Diabetes	31
Dementia	14
Cancer	18

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Paul L. Chesis, MD treated as a radiologist in Kent, OH during 2022 were ultrasound (sonogram), abdominal imaging, X-rays and CT scan.

Volume of procedures performed by Dr. Paul L. Chesis, MD for Medicare patients.

abdominal imaging	325
aspiration	103
brain imaging (neuroimaging)	63
cardiac procedures	53
catheterization	36
CT scan	228
musculoskeletal imaging	150
neck imaging	79
nuclear scan	87
pelvic imaging	177
pleural drainage	50
spinal procedures	51
stress testing	53
thoracic (chest) imaging	98
ultrasound (sonogram)	510
vascular procedures	185
women's imaging	17
X-rays	232

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul L. Chesis, MD.

**Gender**
Male	817
Female	1045

**Ethnicity**
Non-Hispanic White	1720
Black	71
Hispanic	0
Asian	0
Other	52
Native American	0

**Age**
From 65 to 74	812
From 75 to 84	634
85 and over	275
Less than 65	141

Conditions of Medicare patients treated by Dr. Paul L. Chesis, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	10
Ischemic Heart Disease	29
Depression	24
Chronic Kidney Disease	44
Asthma	11
Osteoperosis	14
Atrial Fibrilation	24
Heart Failure	27
Chronic Obstructive Pulmonary Disease	29
Diabetes	32
Dementia	10
Cancer	23

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Paul L. Chesis, MD treated as a radiologist in Kent, OH during 2023 were ultrasound (sonogram), abdominal imaging, X-rays and CT scan.

Volume of procedures performed by Dr. Paul L. Chesis, MD for Medicare patients.

abdominal imaging	318
aspiration	90
brain imaging (neuroimaging)	46
cardiac procedures	57
catheterization	34
CT scan	211
musculoskeletal imaging	176
neck imaging	113
nuclear scan	97
pelvic imaging	161
pleural drainage	58
spinal procedures	70
stress testing	57
thoracic (chest) imaging	107
ultrasound (sonogram)	515
vascular procedures	169
women's imaging	13
X-rays	293

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul L. Chesis, MD.

**Gender**
Male	810
Female	1093

**Ethnicity**
Non-Hispanic White	1782
Black	56
Hispanic	0
Asian	0
Other	48
Native American	0

**Age**
From 65 to 74	834
From 75 to 84	685
85 and over	262
Less than 65	122

Conditions of Medicare patients treated by Dr. Paul L. Chesis, MD in 2023

Hypertension	75
High Cholesterol	75
Stroke	9
Ischemic Heart Disease	31
Depression	24
Chronic Kidney Disease	42
Asthma	11
Osteoperosis	13
Atrial Fibrilation	22
Heart Failure	27
Chronic Obstructive Pulmonary Disease	28
Diabetes	34
Dementia	9
Cancer	24

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2023

Volume of procedures performed by Dr. Paul L. Chesis, MD for Medicare patients.

The highest averages for the top procedures that Dr. Paul L. Chesis, MD treated as a radiologist in Kent, OH were X-rays, thoracic (chest) imaging, ultrasound (sonogram) and CT scan.

abdominal imaging	375
anastomosis	11
angioplasty	39
aspiration	95
bone marrow tests	25
brain imaging (neuroimaging)	162
cardiac procedures	61
catheterization	40
cholecystostomy (gallbladder drainage)	11
CT scan	399
diagnostic imaging	12
diagnostic procedures	41
dialysis access procedures	45
doctor visit	27
endocrine imaging	17
gastrointestinal procedures	20
hip imaging	61
image guided procedures	38
minimally invasive procedures	53
minor procedures	35
MRI (magnetic resonance imaging)	77
musculoskeletal imaging	232
neck imaging	59
nuclear scan	88
pelvic imaging	204
pleural drainage	45
preventive care	32
spinal procedures	127
stress testing	61
thoracic (chest) imaging	575
thoracostomy	20
thrombectomy (blood clot removal)	20
thyroid function tests	17
ultrasound (sonogram)	524
vascular procedures	196
women's imaging	23
X-rays	824

Average Medicare Patient Data From 2012 - 2023

Information about Medicare patients treated by Dr. Paul L. Chesis, MD.

**Gender**
Male	1016
Female	1361

**Ethnicity**
Black / African American	143
Asian / Pacific Islander	0
Non-Hispanic White	2157
Hispanic	20
Native American / Alaskan Native	0
Other	31

**Age**
75 to 84	721
85 and over	395
Less than 65	322
65 to 74	938

Average of Total of Conditions of Medicare patients treated by Dr. Paul L. Chesis, MD From 2012 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Paul L. Chesis, MD treated were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension	67
High Cholesterol	59
Stroke	8
Ischemic Heart Disease	35
Depression	27
Chronic Kidney Disease	39
Asthma	11
Osteoporosis	9
Heart Failure	27
Chronic Obstructive Pulmonary Disease	25
Diabetes	31
Atrial Fibrillation	17
Cancer	16
Dementia	14

Education & Training

He has a state license in Ohio.

Licensed In: Ohio

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Paul L. Chesis, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Medtronic USA, Inc.	$1,689 OSTEOCOOL RF ABLATION $1,689
Medtronic Vascular, Inc.	$677 ClosureFast $658	CVI $19
Silk Road Medical, Inc.	$350 ENROUTE 0.014 Guidewire $350
Penumbra, Inc.	$290 Penumbra System $196	Indigo System $94
Medtronic, Inc.	$152 OSTEOCOOL RF ABLATION SYSTEM $142	Emprint $9
Other	$375 Interventional Therapies $74	KYPHON Balloon Kyphoplasty $69	18F Sodium Fluoride $63	Cryoablation products $59	ENDOPATH ETS Articulating Linear Cutter $59	Other $50

**Types of Payments**
Travel and Lodging	$2,042
Food and Beverage	$1,490

Biography

Dr. Paul Chesis is an interventional radiology/diagnostic radiology (IR/DR) and diagnostic radiology specialist in Kent, OH. Dr. Chesis obtained a license to practice in Ohio.