Individual
KENNETH W SAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3001A SIXTH STREET, LABORATORY, NAVAL HEALTH CLINIC GREAT LAKES, GREAT LAKES, IL 60088
(847) 688-6850
Mailing address
325 EAST BLODGETT AVENUE, LAKE BLUFF, IL 60044-2112
(847) 482-1938
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0102037035
VA
Other
Enumeration date
01/16/2006
Last updated
07/08/2007
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