Individual
KENDALL FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
317 N RACINE AVE, CHICAGO, IL 60607-1224
(312) 815-2778
(312) 872-7863
Mailing address
317 N RACINE AVE, CHICAGO, IL 60607-1224
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
041441583
IL
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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