Individual
KENON HARDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14447 S BENSLEY AVE, BURNHAM, IL 60633-2224
(708) 444-1012
Mailing address
17746 OAK PARK AVE, TINLEY PARK, IL 60477-3936
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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