Individual
DR. KENNEDY MCMULLEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
442 JACKSON BLVD, APT. 1N, FOREST PARK, IL 60130-1751
(708) 209-1899
Mailing address
442 JACKSON BLVD, APT. 1N, FOREST PARK, IL 60130-1751
(708) 209-1899
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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