Mr. Kenneth Boggs, CO
Mr. Kenneth Boggs, CO is an Orthotist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2010
Practice location Address checks out
345 E Superior St Ste 1764Chicago, IL 60611-2654
Phone: (132) 238-2810
Fax: (312) 238-1932
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthotist (primary) | Taxonomy 222Z00000X · Licence 213000065 (IL) |
|---|
Record details
| NPI number | 1780915595 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CO |
| Sole proprietor | Yes |
| NPI enumerated | January 18, 2010 |
| Last updated in NPPES | January 18, 2010 |
| Mailing address | 2712 W Farwell Ave, Chicago, IL 60645-4515 |
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