Search › Illinois › 207Q00000X
Tom Kenney
NPI 1710070057 · on the registry since 2006
Practice
- Address
- 1405 Eastland Dr
Bloomington, IL 61701 - Phone
- (309) 661-2400
- Fax
- (309) 661-6226
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-09-16
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