Individual
KENNETH LAMONT FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 W SUPERIOR ST, CHICAGO, IL 60622-5646
(312) 666-3494
(312) 666-5867
Mailing address
651 S WELLS ST, UNIT #701, CHICAGO, IL 60607-4508
(708) 539-6863
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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