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Pradeep A Keni M D S C
Specialist in Palos Heights, Illinois
NPI 1235231366

Pradeep A Keni M D S C is a Specialist based in Palos Heights, IL. Pradeep A Keni M D S C practices in Palos Heights, IL. The NPI Number for Pradeep A Keni M D S C is 1235231366 and holds a License No. 0360-46184 (Illinois).

The current practice location address for Pradeep A Keni M D S C is 6420 W 127Th St Ste 106, Palos Heights, IL and can be reached out via phone at 708-371-3090 and via fax at 708-371-1529.

Location: 6420 W 127Th St Ste 106, Palos Heights, IL, 60463-2297
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235231366
Provider Name
Pradeep A Keni M D S C
Credential
Provider Entity Type
Organization
Address
6420 W 127Th St Ste 106, Palos Heights, IL, 60463-2297
Phone Number
708-371-3090
Fax Number
708-371-1529
Provider Enumeration Date
09/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036046184 05 IL
21604442 01 IL BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
6420 W 127Th St Ste 106
City
Palos Heights
State
Illinois
Zip
60463-2297
Phone Number
708-371-3090
Fax Number
708-371-1529
person
Provider Business Mailing Address Details
Address
6420 W 127Th St Ste 106
City
Palos Heights
State
Illinois
Zip
60463-2297
Phone Number
708-371-3090
Fax Number
708-371-1529
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0360-46184 (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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