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Robert Kennedy
NPI 1134379415 · on the registry since 2008 · sole proprietor
Practice
- Address
- 155 Bryant Ave
Glen Ellyn, IL 60137 - Phone
- (630) 379-8922
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-09-24
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