NPI 1083674295

James Martin Kedrow, PAC

Practitioner Physician Assistant North Chicago, IL

Practice location

Address: 3001 Green Bay Rd, North Chicago, IL 60064-3048
Phone: (847) 688-6755
Mailing address: 1806 Midday Dr, Zion, IL 60099-9252

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 921-023 (WI)

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Registry record

NPI: 1083674295
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Mar 2006
Record last updated: 8 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.