Individual
KENNETH J. MCKENNA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
765 ELA RD, SUITE 305, LAKE ZURICH, IL 60047-2337
(847) 438-0181
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542
(630) 874-2642
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
—
IL
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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