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Individual

KEVIN T KRENEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
360 W HUBBARD ST APT 411, CHICAGO, IL 60654-5607
(615) 429-0649
Mailing address
360 W HUBBARD ST APT 411, CHICAGO, IL 60654-5607
(615) 429-0649

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209009450
IL
363LF0000X
Family Nurse Practitioner
Primary
PENDING
TN

Other

Enumeration date
11/13/2007
Last updated
05/11/2017
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