Individual
MRS. TINA C KENEBREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.T.
Contact information
Practice address
3142 OLIVE RD, HOMEWOOD, IL 60430-1416
(708) 785-2992
(708) 799-2882
Mailing address
3142 OLIVE RD, HOMEWOOD, IL 60430-1416
(708) 785-2992
(708) 799-2882
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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