Kenneth C Wolford CSA

NPI 1114996287 - Specialist - 174400000X

NPI Details
NPI 1114996287
Gender Male
Enumeration Date 03/14/2006
Last Updated 02/06/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
7078 WEST AVE
HANOVER PARK IL, 60133, US
Phone (630) 378-1225
Fax (630) 378-1740
Business Location
7078 WEST AVE
HANOVER PARK IL, 60133, US
Phone (813) 854-1664
Fax (630) 378-1740
Toxanomy
Taxonomy Code 174400000X
License State Illinois
License Number 23B.000007
Remove 1114996287 NPI Number
 

According to our database, Mr. Kenneth C Wolford CSA NPI is 1114996287, taxonomy code is 174400000X and license number is 23B.000007, license state is located at Illinois. Kenneth C Wolford CSA physically located at 7078 West Ave, Hanover Park IL, 60133. NPI Number Kenneth C Wolford CSA has the Individual type.

Sponsored links

1114996287 NPI number is provided on an as is basis without warranty of any kind. 1114996287 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth C Wolford CSA are for informational purposes only.