Individual
DR. KENNETH JUSTIN NAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-2700
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-2700
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125062026
IL
207R00000X
Internal Medicine Physician
125062026
IL
Other
Enumeration date
08/23/2012
Last updated
08/23/2012
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