Kennedy Medical Service Corp

NPI 1003975442 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1003975442
Enumeration Date 12/08/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LOFTON LOFTON
Position CEO
Phone (312) 504-0438
Fax
Practice Location
175 E DELAWARE PL
SUITE 5024
CHICAGO IL, 60611-1756, US
Phone (312) 504-0438
Fax
Business Location
175 E DELAWARE PL
SUITE 5024
CHICAGO IL, 60611-1756, US
Phone (312) 504-0438
Fax
Toxanomy
Taxonomy Code 207V00000X
License State
License Number
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According to our database, Kennedy Medical Service Corp NPI is 1003975442, taxonomy code is 207V00000X Kennedy Medical Service Corp physically located at 175 E Delaware Pl, Chicago IL, 60611-1756. NPI Number 1033115704 has the healthcare provider type.

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1003975442 NPI number is provided on an as is basis without warranty of any kind. 1003975442 is maintained by the National Plan & Provider Enumeration System. The contents of Kennedy Medical Service Corp are for informational purposes only.