SearchIllinois1041C0700X

Keenen Stevenson

NPI 1225418973 · on the registry since 2015

Practice

Address
1440 Renaissance Dr Ste 320
Park Ridge, IL 60068
Phone
(847) 759-9110
Organisation at this address
Joy Wellness Inc
Dimitrina Vizinas Ltd
Warren Kammerer Md Sc
The Juniper Center Pc
Laura Van Dusen M.D. S.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
71

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YM0800X
Sex
Male
Record last updated
2024-05-27

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