Basic Information
| Provider Information | |||||||||
| NPI: | 1700148483 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHAKOUR | ||||||||
| FirstName: | KENNETH | ||||||||
| MiddleName: | SAAD | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2525 KANEVILLE RD | ||||||||
| Address2: | |||||||||
| City: | GENEVA | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601342578 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6309384011 | ||||||||
| FaxNumber: | 6305841400 | ||||||||
| Practice Location | |||||||||
| Address1: | 420 W NORTHWEST HWY STE M | ||||||||
| Address2: | |||||||||
| City: | BARRINGTON | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600106812 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8473826766 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2012 | ||||||||
| LastUpdateDate: | 03/16/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/16/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 51678 | KY | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | 125061122 | IL | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207XS0114X | TP657 | KY | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 036149632 | IL | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Adult Reconstructive Orthopaedic Surgery |
No ID Information.