Individual
KENNETH A NOFFSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
960 N 5TH AVE STE E, ST CHARLES, IL 60174-1205
(630) 584-8877
(630) 584-0265
Mailing address
2320 DEAN ST STE 103, ST CHARLES, IL 60175-1068
(630) 377-0106
(630) 377-1186
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
036048330
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036048330
—
IL
Enumeration date
08/15/2006
Last updated
07/08/2007
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