SearchIllinois207K00000X

Paul Detjen, MD

NPI 1396739298 · on the registry since 2005 · sole proprietor

Practice

Address
534 Green Bay Rd
Kenilworth, IL 60043
Phone
(847) 256-5505
Fax
(847) 256-5567
Organisation at this address
David S. Duda Dds Pc
Duda Dental Associates Llc
Kenilworth Medical Associates, S.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
207K00000X
207K00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-04

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