Individual
DR. KENNETH PORTNOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
727 W DUNDEE RD, WHEELING, IL 60090-2605
(847) 459-4477
(847) 459-4535
Mailing address
727 W DUNDEE RD, WHEELING, IL 60090-2605
(847) 459-4477
(847) 459-4535
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-007059
IL
Other
Enumeration date
10/31/2005
Last updated
06/06/2008
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