Kenilworth Surgery LLC
NPI #1134591191 in Kenilworth, Illinois
Provider Information
- NPI Number
- 1134591191
- Entity Type
- Organization
- Organization Name
- Kenilworth Surgery LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Oct 29, 2015
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 512 GREEN BAY RD
- City
- Kenilworth
- State
- Illinois
- ZIP Code
- 60043-1073
- Phone
- (847) 716-2400
Authorized Official
- Name
- GEOFFREY C FENNER, MD
- Title
- PHYSICIAN/OWNER
- Phone
- (847) 716-2400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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