Individual
KEVIN MICHAEL WIDDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2500 W HIGGINS RD STE 1165, HOFFMAN ESTATES, IL 60169-2050
(847) 289-5727
Mailing address
2500 W HIGGINS RD STE 1165, HOFFMAN ESTATES, IL 60169-2050
(847) 289-5727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.008551
IL
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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