Individual
DR. JOHN PATRICK KENNY IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2650 RIDGE AVE, DEPARTMENT OF ANESTHESIA, EVANSTON, IL 60201-1718
(847) 570-2760
(847) 570-2921
Mailing address
2650 RIDGE AVE RM 1223, EVANSTON, IL 60201-1700
(847) 570-2040
(847) 733-5315
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036143776
IL
Other
Enumeration date
06/06/2012
Last updated
03/17/2018
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