Search › Illinois › 174400000X
Kenneth Kaczmarek, PBT-ASCP
NPI 1033368493 · on the registry since 2008 · sole proprietor
Practice
- Address
- 38463 North 9th Street
Spring Grove, IL 60081 - Phone
- (847) 973-2188
- Fax
- (847) 973-2644
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-09-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois