Individual
KENNETH M LANGWORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RVT
Contact information
Practice address
15 S DRYDEN PL, ARLINGTON HEIGHTS, IL 60004-6369
(847) 577-5814
(847) 577-5914
Mailing address
1157 W WRIGHTWOOD AVE, CHICAGO, IL 60614-1355
(630) 209-9161
Taxonomy
Speciality
Code
Description
License number
State
246XC2903X
Vascular Specialist/Technologist Cardiovascular
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002232513
BLUECROSSBLUESHIELD OF IL
IL
Enumeration date
06/29/2006
Last updated
07/08/2007
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