Individual
MR. KENNETH ANDREW KACZMAREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PBT-ASCP
Contact information
Practice address
38463 NORTH 9TH STREET, SPRING GROVE, IL 60081-9017
(847) 973-2188
(847) 973-2644
Mailing address
38463 NORTH 9TH STREET, SPRING GROVE, IL 60081-9017
(847) 973-2188
(847) 973-2644
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04172088-ASCP
IL
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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