Organization
KENNETH S STONE DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH S STONE D.P.M. (OWNER)
(815) 235-4231
Entity
Organization
Contact information
Practice address
1717 W CHURCH ST, FREEPORT, IL 61032-4695
(815) 235-4231
(815) 233-9531
Mailing address
1717 W CHURCH ST, FREEPORT, IL 61032-4695
(815) 235-4231
(815) 233-9531
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
IL
Other
Enumeration date
12/18/2006
Last updated
01/11/2008
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