Individual
DR. KENNETH S PITTLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2626 N LAKEVIEW AVE, CHICAGO, IL 60614-6173
(773) 929-9306
Mailing address
2626 N LAKEVIEW AVE, CHICAGO, IL 60614-6173
(773) 929-9306
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036055863
IL
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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