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Individual

DR. RICHARD D. KERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2800 W 95TH ST, PULMONARY MEDICINE CONSULTANTS, LTD., EVERGREEN PARK, IL 60805-2701
(708) 424-9288
Mailing address
2800 W 95TH ST, PULMONARY MEDICINE CONSULTANTS, LTD., EVERGREEN PARK, IL 60805-2701
(708) 424-9288

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036063207
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036-063207
IL
Enumeration date
07/14/2006
Last updated
04/12/2011
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