Individual
NANCY A KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DN
Contact information
Practice address
800 MAIN ST STE 6, ANTIOCH, IL 60002-1542
(847) 299-4295
Mailing address
PO BOX 457, POWERS LAKE, WI 53159-0457
(847) 299-4295
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
181000172
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
181000172
PROFESSIONAL LICENSE
IL
Enumeration date
01/12/2011
Last updated
01/12/2011
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