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Individual

DR. BRYAN J KEMKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 E MILLER RD, STERLING, IL 61081
(815) 625-4790
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036092108
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036-092108
IL
01
P00654906
RR MEDICARE
IL
Enumeration date
10/04/2005
Last updated
08/20/2018
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