Individual
DR. KEVIN PHILIP WAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 FOXFIELD RD, ST CHARLES, IL 60174-5799
(630) 377-6500
Mailing address
1571 SOUTHRIDGE TRL, ALGONQUIN, IL 60102-6602
(847) 836-9419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
08/25/2006
Last updated
07/09/2007
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