Individual
KENNETH A VATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1140 CHERRY ST, WINNETKA, IL 60093-2115
(847) 612-1547
(847) 441-7311
Mailing address
1140 CHERRY ST, WINNETKA, IL 60093-2115
(847) 612-1547
(847) 441-7311
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036051900
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036051900
—
IL
Enumeration date
01/30/2007
Last updated
01/08/2016
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