Individual
WILLIAM KENNETH CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3505 N BELL SCHOOL RD, ROCKFORD, IL 61114-6624
(779) 696-0300
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
(779) 696-7342
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036.116645
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
336077728
CONTROLLED SUBSTANCE
IL
Enumeration date
08/21/2006
Last updated
02/19/2025
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