Organization
K W HUNNEMEDER, DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH WILLIAM HUNNEMEDER DC (CHIROPRACTOR)
(847) 249-5200
Entity
Organization
Contact information
Practice address
4211 GROVE AVE, GURNEE, IL 60031-2134
(847) 249-5200
(847) 249-5204
Mailing address
4211 GROVE AVE, GURNEE, IL 60031-2134
(847) 249-5200
(847) 249-5204
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
03800365
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004982027
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/24/2007
Last updated
05/06/2008
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