Individual
MR. KENNETH A. STIFF
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
500 W ELK GROVE BLVD, ELK GROVE VILLAGE, IL 60007-4272
(847) 718-4412
(847) 718-4417
Mailing address
2904 SOUTH CT, ROLLING MEADOWS, IL 60008-1757
(847) 394-3492
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
96000134
IL
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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