Individual
KENNETH CHI CHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2535 S MARTIN LUTHER KING DR, CHICAGO, IL 60616
(312) 842-7117
(708) 422-8225
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1135
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-153941
IL
Other
Enumeration date
05/11/2018
Last updated
05/25/2023
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