Individual
KENNETH M PELEHAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5404 FOXWOODS DR, OAK LAWN, IL 60453
(708) 382-1615
(888) 702-1052
Mailing address
5404 FOXWOODS DR, OAK LAWN, IL 60453-5073
(708) 382-1615
(888) 702-1052
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036085109
IL
208600000X
Surgery Physician
Primary
49770
WI
2086S0102X
Surgical Critical Care Physician
036085109
IL
Other
Enumeration date
07/05/2005
Last updated
06/18/2018
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