Individual
KEVIN FERRITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(512) 324-8355
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(512) 324-8355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.163994
IL
207R00000X
Internal Medicine Physician
BP10067169
TX
Other
Enumeration date
04/08/2019
Last updated
05/26/2023
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