SearchIllinois253Z00000X

Kevin Sanderson

NPI 1295380392 · on the registry since 2019 · sole proprietor

Practice

Address
9604 Zimmer Drive
Algonquin, IL 60102
Phone
(224) 241-8112

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-08-06

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