Individual
RILEY KENEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
474 N LAKE SHORE DR APT 2408, CHICAGO, IL 60611-6468
(847) 624-0314
Mailing address
474 N LAKE SHORE DR APT 2408, CHICAGO, IL 60611-6468
(847) 624-0314
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041516244
IL
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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