Individual
DR. KENAN A. SHAWWAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(480) 342-2270
Mailing address
16642 N 59TH PL, SCOTTSDALE, AZ 85254-1252
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125084555
IL
Other
Enumeration date
03/27/2024
Last updated
06/22/2024
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