Most Relevant Information
Provider Data
| NPI Number: | 1003173345 |
| Provider Name: | BRUCE DELOZIER KENAMORE M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 036.0771777 |
Most Important Dates
| Enumeration Date: | 04/11/2012 |
| Last Updated: | 04/11/2012 |
Provider Practice Location
120 DUPEE PL
WILMETTE
IL
600913402
Practice Location Phone/Fax
| Phone: | 8472517603 |
| Fax: |
Provider Mailing Location
120 DUPEE PL
WILMETTE
IL
600913402
Provider Mailing Phone/Fax
| Phone: | 8472517603 |
| Fax: |
Suggested EMR
Internist EMR