Individual
KENDAL T FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3700 W 203RD ST, SUITE 201, OLYMPIA FIELDS, IL 60461-1180
(708) 679-2880
(708) 503-3295
Mailing address
1040 SIERRA DR, SUITE 400, GREENWOOD, IN 46143-7240
(317) 528-4800
(317) 865-8319
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036101263
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101263
—
IL
Enumeration date
04/17/2006
Last updated
03/17/2018
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