Kenneth L Gwinn Md Pc in Chicago - Otolaryngology/facial Plastic Surgery
Kenneth L Gwinn Md Pc - NPI 1629163217
Kenneth L Gwinn Md Pc is a Otolaryngology/facial Plastic Surgery in Chicago, Illinois. Kenneth L Gwinn Md Pc practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Kenneth L Gwinn Md Pc is 1629163217. The last update date is 2008-10-02.
Kenneth L Gwinn Md Pc's current location address is 1976 Momentum Pl, Chicago, Illinois. You can contact this provider via phone number 5867991212. The mailing address for Kenneth L Gwinn Md Pc is 1976 Momentum Pl, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kenneth L Gwinn Md Pc |
|---|---|
| Address | 1976 Momentum Pl, Chicago, Illinois |
| Phone Number | 5867991212 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gwinn L Kenneth |
| Credentials | MD |
| Telephone Number | 5867991212 |
NPI Number Detail
| NPI Number | 1629163217 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2008-10-02 |
Provider Mailing Address Detail
| Address | 1976 Momentum Pl |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606895319 |
| Phone Number | 5867991212 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology/facial Plastic Surgery |
|---|---|
| Taxonomy | 207Yx0905X |
| Licence No | KG050974 |
|
Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C7134 | MI | MCARE HMO | |
| 405011981 | MI | BCBS OF MICHIGAN | |
| 12795880 | MI | -- | |
| 9639 | MI | CAPE HEALTH | |
| 102795880 | MI | GREAT LAKES HEALTH PLAN | |
| 258611 | MI | OMNICARE | |
| 131442 | MI | PREFERRED CHOICES |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kenneth L Gwinn Md Pc?
The Kenneth L Gwinn Md Pc has been issued the NPI (National Provider Identifier) 1629163217 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kenneth L Gwinn Md Pc's facilities are situated?
The facilities of Kenneth L Gwinn Md Pc are physically located at the following address: 1976 Momentum Pl, Chicago, IL, 606895319.
What is Kenneth L Gwinn Md Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kenneth L Gwinn Md Pc is Otolaryngology/facial Plastic Surgery, and the taxonomy code that categorizes this field of expertise is 207Yx0905X.
On what date did the Centers for Medicare & Medicaid Services assign the 1629163217 to Kenneth L Gwinn Md Pc?
The Centers for Medicare & Medicaid Services assigned the 1629163217 to Kenneth L Gwinn Md Pc on 2006-10-03.
As of what date were the Kenneth L Gwinn Md Pc's details last updated?
The information pertaining to the Kenneth L Gwinn Md Pc, including its address, specialty, and other details, was most recently updated on 2008-10-02.
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