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Individual

DR. KENNETH W ANDERSON III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14451 MORNINGSIDE RD, ORLAND PARK, IL 60462-7413
(708) 205-9008
(888) 668-6550
Mailing address
14451 MORNINGSIDE RD, ORLAND PARK, IL 60462-7413
(708) 205-9008
(888) 668-6550

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-059551
IL

Other

Enumeration date
12/18/2006
Last updated
05/27/2014
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