KENNETH BOGGS

CHICAGO, IL
NPI1780915595
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy222Z00000X Orthotist
(Licence: IL  213000065)
Enumeration Date2010-01-18
Last Update Date2010-01-18
Business Address
Mr. KENNETH BOGGS CO
345 E SUPERIOR ST SUITE 1764
CHICAGO, IL 60611-2654
Phone number: 132-238-2810
Mailing Address
Mr. KENNETH BOGGS CO
2712 W FARWELL AVE
CHICAGO, IL 60645-4515
Phone number: 773-972-1136
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