KENNETH ADAM FOGEL

BURR RIDGE, IL
NPI1033121124
Other NameKEN ADAM FOGEL
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IL  071006356)
Enumeration Date2006-08-13
Last Update Date2021-01-08
Business Address
KENNETH ADAM FOGEL Psy D
200 S FRONTAGE RD STE 324
BURR RIDGE, IL 60527-6953
Phone number: 847-347-0491
Mailing Address
KENNETH ADAM FOGEL Psy D
118 N CHESTER AVE
PARK RIDGE, IL 60068
Phone number: 847-384-5679