Zachary H Mckenty IDMT

NPI 1407190812 - Military Health Care Provider - 1710I1003X

NPI Details
NPI 1407190812
Gender Male
Enumeration Date 11/26/2012
Last Updated 11/26/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
3736 PARADOR DR
NAPERVILLE IL, 60564-3109, US
Phone (630) 918-0603
Fax
Business Location
3736 PARADOR DR
NAPERVILLE IL, 60564-3109, US
Phone (630) 918-0603
Fax
Toxanomy
Taxonomy Code 1710I1003X
License State
License Number
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According to our database, Zachary H Mckenty IDMT NPI is 1407190812, taxonomy code is 1710I1003X Zachary H Mckenty IDMT physically located at 3736 Parador Dr, Naperville IL, 60564-3109. NPI Number Zachary H Mckenty IDMT has the Individual type.

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1407190812 NPI number is provided on an as is basis without warranty of any kind. 1407190812 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary H Mckenty IDMT are for informational purposes only.