Search › Illinois › 1223G0001X
Kenneth O'Brien, DDS
NPI 1063636884 · on the registry since 2007 · sole proprietor
Practice
- Address
- 213 W Main St
Rockton, IL 61072 - Phone
- (815) 624-2626
- Fax
- (815) 624-7821
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois