Individual
KENNETH RAY WILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 W POLK ST FL 10, DEPARTMENT OF EMERGENCY MEDICINE, ADMIN BUILDING, CHICAGO, IL 60612-3723
(312) 864-0062
Mailing address
1900 W POLK ST FL 10, DEPARTMENT OF EMERGENCY MEDICINE, ADMIN BUILDING, CHICAGO, IL 60612-3723
(312) 864-0062
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.129306
IL
207P00000X
Emergency Medicine Physician
125056748
IL
Other
Enumeration date
06/22/2009
Last updated
05/06/2013
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