Individual
MR. JAMES MARTIN KEDROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(847) 688-6755
Mailing address
1806 MIDDAY DR, ZION, IL 60099-9252
(847) 688-6755
(847) 688-2722
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
921-023
WI
Other
Enumeration date
03/23/2006
Last updated
02/08/2018
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