Individual
DR. SANJAY PRADEEP KENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6420 W 127TH ST, PALOS HEIGHTS, IL 60463-2269
(708) 371-3090
(708) 371-1529
Mailing address
6420 W 127TH ST, PALOS HEIGHTS, IL 60463-2269
(708) 371-3090
(708) 371-1529
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
036121277
IL
Other
Enumeration date
09/06/2007
Last updated
07/16/2020
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