IndividualActive
John Kennedy
NPI 1487760922 · Clinical Pathology/Laboratory Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1487760922
- Entity type
- Individual
- Primary specialty
- Clinical Pathology/Laboratory Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 036069487 (IL)
Mailing address
809 S Marshfield Ave
Chicago, IL 60612-4305
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.