Individual
KENNETH N CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19550 GOVERNORS HWY, SUITE 2000, FLOSSMOOR, IL 60422-2125
(708) 957-8750
(708) 957-8602
Mailing address
19550 GOVERNORS HWY, SUITE 2000, FLOSSMOOR, IL 60422-2125
(708) 957-8750
(708) 957-8602
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110163534/CA4448
RAILROAD PALMETTO GBA
IL
Enumeration date
09/14/2006
Last updated
03/25/2008
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