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Individual

KENNETH ROBERT FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1440 W TAYLOR ST # 1290, CHICAGO, IL 60607-4623
(630) 561-4540
Mailing address
7427 S SOUTH SHORE DR APT 2D, CHICAGO, IL 60649-3815
(630) 561-4540

Taxonomy

Speciality
Code
Description
License number
State
224ZR0403X
Driving and Community Mobility Occupational Therapy Assistant
Primary

Other

Enumeration date
05/01/2024
Last updated
05/01/2024
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