Individual provider · Type 1 NPI
Kenneth C. Wolford, CSA
Specialist · Hanover Park, IL
NPI number
1114996287
Active
Practice location
7078 West Ave
Hanover Park, IL 60133
Fax (630) 378-1740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 23B.000007 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1114996287
Kenneth C. Wolford, CSA's National Provider Identifier is 1114996287, issued on Mar 14, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hanover Park, IL. The record was last updated on Feb 6, 2009.