Individual
ANDREW R KETTERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 E ONTARIO ST STE 200, CHICAGO, IL 60611-3284
(312) 926-7000
(312) 926-6274
Mailing address
87 WYMAN ST APT 1, BOSTON, MA 02130-1904
(319) 594-2307
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036170215
IL
207P00000X
Emergency Medicine Physician
270150
MA
Other
Enumeration date
03/22/2013
Last updated
12/06/2024
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