Individual
JAMES P KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9408 47TH ST, BROOKFIELD, IL 60513-2235
(708) 387-7755
Mailing address
9408 47TH ST, BROOKFIELD, IL 60513-2235
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1917217
IL
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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