Search › Illinois › 2084N0400X
Kenneth Munnerlyn, MD
NPI 1316172513 · on the registry since 2009
Practice
- Address
- 2623 N Clark St
Chicago, IL 60614 - Phone
- (312) 722-6977
- Organisation at this address
- Defined Lj, Inc
Digitrace Care Services, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 360 Station Dr Ste 300, Crystal Lake, IL
- 100 Mcgregor St, Manchester, NH
- 5454 Hohman Ave, Hammond, IN
- 85 E Us Highway 6, Valparaiso, IN
- 603 7th St S Ste 400, St Petersburg, FL
- 700 S Park St Ste A, Madison, WI
Registry record
- Primary taxonomy
- 2084N0400X
2084N0400X
- Also registered as
- 2084N0400X
2084N0400X
2084N0400X
2084N0400X
2084N0400X - Licence states on file
- FL, GA, CT, AZ, IL, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-04
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