Individual
KENNETH S. TOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-8000
Mailing address
185 PENNY AVE, EAST DUNDEE, IL 60118-1454
(847) 836-7015
(847) 428-9291
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036109748
IL
207LP3000X
Pediatric Anesthesiology Physician
036-109748
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01619255
BLUE CROSS BLUE SHIELD
IL
05
—
036109748
—
IL
Enumeration date
07/15/2005
Last updated
04/30/2021
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