Individual
KURT SEAMUS CARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7343 LAKE ST, RIVER FOREST, IL 60305-2206
(708) 231-8908
Mailing address
7343 LAKE ST, RIVER FOREST, IL 60305-2206
(170) 823-1890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.021610
IL
Other
Enumeration date
08/08/2020
Last updated
03/03/2023
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