Individual
DR. PAUL M KENTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
580 ROGER WILLIAMS AVE STE 25, HIGHLAND PARK, IL 60035-4820
(847) 634-1960
(847) 864-0661
Mailing address
580 ROGER WILLIAMS AVE STE 25, HIGHLAND PARK, IL 60035-4820
(847) 634-1960
(847) 864-0661
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
036044332
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210357
GROUP
IL
Enumeration date
12/29/2005
Last updated
04/12/2023
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