Individual
KENNETH BRETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3303 W. 26TH ST., CHICAGO, IL 60623-4036
(773) 277-6589
(773) 277-1841
Mailing address
3303 W. 26TH ST., CHICAGO, IL 60623-4036
(773) 277-6589
(773) 277-1841
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-050271
IL
Other
Enumeration date
10/23/2006
Last updated
05/10/2012
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