Organization
KENNEDY MEDICAL SERVICE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOFTON KENNEDY JR. M.D. (CEO)
(312) 504-0438
Entity
Organization
Contact information
Practice address
175 E DELAWARE PL, SUITE 5024, CHICAGO, IL 60611-1756
(312) 504-0438
Mailing address
175 E DELAWARE PL, SUITE 5024, CHICAGO, IL 60611-1756
(312) 504-0438
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
12/08/2006
Last updated
08/22/2020
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