Individual
DR. BRUCE DELOZIER KENAMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 DUPEE PL, WILMETTE, IL 60091-3402
(847) 251-7603
Mailing address
120 DUPEE PL, WILMETTE, IL 60091-3402
(847) 251-7603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.0771777
IL
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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