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1306693163
KENNETH ROBERT FORD
CHICAGO, IL
NPI
1306693163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224ZR0403X Occupational Therapy Assistant, Driving and Community Mobility
Enumeration Date
2024-05-01
Last Update Date
2024-05-01
Business Address
KENNETH ROBERT FORD
1440 W TAYLOR ST # 1290
CHICAGO, IL 60607-4623
Phone number: 630-561-4540
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Mailing Address
KENNETH ROBERT FORD
7427 S SOUTH SHORE DR APT 2D
CHICAGO, IL 60649-3815
Phone number: 630-561-4540
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