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Individual

KEVIN E. MCDONOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN-CNP

Contact information

Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 283-5500
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209016226
IL

Other

Enumeration date
08/03/2017
Last updated
12/02/2024
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