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Mr. Kenneth Andrew Kaczmarek, PBT-ASCP
Specialist in Spring Grove, Illinois
NPI 1033368493

Kenneth Andrew Kaczmarek is a Specialist based in Spring Grove, IL. Kenneth Andrew Kaczmarek practices in Spring Grove, IL and has the professional credentials of PBT-ASCP. The NPI Number for Kenneth Andrew Kaczmarek is 1033368493 and holds a License No. 04172088-ASCP (Illinois).

The current practice location address for Kenneth Andrew Kaczmarek is 38463 North 9Th Street, Spring Grove, IL and can be reached out via phone at 847-973-2188 and via fax at 847-973-2644.

Location: 38463 North 9Th Street, Spring Grove, IL, 60081-9017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033368493
Provider Name
Kenneth Andrew Kaczmarek
Credential
PBT-ASCP
Provider Entity Type
Individual
Gender
Male
Address
38463 North 9Th Street, Spring Grove, IL, 60081-9017
Phone Number
847-973-2188
Fax Number
847-973-2644
Provider Enumeration Date
09/10/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
38463 North 9Th Street
City
Spring Grove
State
Illinois
Zip
60081-9017
Phone Number
847-973-2188
Fax Number
847-973-2644
person
Provider Business Mailing Address Details
Address
38463 North 9Th Street
City
Spring Grove
State
Illinois
Zip
60081-9017
Phone Number
847-973-2188
Fax Number
847-973-2644
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
04172088-ASCP (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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