Individual
DARLENE DENISE KENNEBREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN CNM
Contact information
Practice address
1901 W HARRISON, CHICAGO, IL 60612
(312) 864-4380
Mailing address
5639 KATHRYN LN, MATTESON, IL 60443
(708) 720-0310
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209-002362
IL
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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