KENNETH PAUL ANDERSON

EVANSTON, IL
NPI1811146483
Former NameKENNETH PAUL ANDERSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036.121924)
Enumeration Date2008-09-18
Last Update Date2008-09-18
Business Address
Dr. KENNETH PAUL ANDERSON D.O.
2650 RIDGE AVE
EVANSTON, IL 60201-1718
Phone number: 847-570-2008
Mailing Address
Dr. KENNETH PAUL ANDERSON D.O.
2650 RIDGE AVE
EVANSTON, IL 60201-1718
Phone number: 847-570-2008
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