Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth Mogbo

Individual provider Pharmacist · NPI 1013513357

Kenneth Mogbo is a Pharmacist in Country Club Hills, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
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Practice location Address checks out

4301 187th St
Country Club Hills, IL 60478-5647
Phone: (708) 314-1224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051289370 (IL)

Record details

NPI number1013513357
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 10, 2020
Last updated in NPPESDecember 10, 2020
Certification dateDecember 10, 2020

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