Stuart Kiken MD

NPI 1790868008 - Family Medicine - 207Q00000X

NPI Details
NPI 1790868008
Gender Male
Enumeration Date 10/23/2006
Last Updated 05/13/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
2720 W 15TH ST
4TH FLOOR
CHICAGO IL, 60608-1610, US
Phone (773) 257-6730
Fax (773) 257-4775
Business Location
2720 W 15TH ST
4TH FLOOR
CHICAGO IL, 60608-1610, US
Phone (773) 257-6730
Fax (773) 257-4775
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036-059941
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According to our database, Stuart Kiken MD NPI is 1790868008, taxonomy code is 207Q00000X and license number is 036-059941, license state is located at Illinois. Stuart Kiken MD physically located at 2720 W 15th St, Chicago IL, 60608-1610. NPI Number Stuart Kiken MD has the Individual type.

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1790868008 NPI number is provided on an as is basis without warranty of any kind. 1790868008 is maintained by the National Plan & Provider Enumeration System. The contents of Stuart Kiken MD are for informational purposes only.