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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KENNETH C WOLFORD, CSA

Active

MR. KENNETH C WOLFORD, CSA is a Specialist healthcare provider located in HANOVER PARK, Illinois. NPI 1114996287 is currently active in the NPPES registry. Verify at CMS.

Specialist · HANOVER PARK, IL

Registration Details

NPI Number
1114996287
Provider Type
Individual
Gender
Male
NPI Issued
Mar 14, 2006 (20.391409160364 yrs)
Last Updated
Feb 6, 2009
License
23B.000007 (IL)

Practice Information

Address
7078 WEST AVE
HANOVER PARK, IL, 60133
Browse IL providers · Browse ZIP 60133
Phone
6303781225
Fax
6303781740
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.