Individual
CLAIRE KENNEALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
530 WINNETKA AVE, WINNETKA, IL 60093-4023
(847) 441-6868
Mailing address
530 WINNETKA AVE, WINNETKA, IL 60093-4023
(847) 441-6868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2004016468
MO
Other
Enumeration date
05/01/2007
Last updated
11/14/2007
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