David A Kanarek M.d. | |
4160 Illinois Route 83 Suite 303 Long Grove IL 60047-9586 | |
(847) 634-2095 | |
Not Available |
Full Name | David A Kanarek M.d. |
---|---|
Speciality | Internal Medicine |
Location | 4160 Illinois Route 83, Long Grove, Illinois |
Authorized Official Name and Position | David A Kanarek (MEDICAL DOCTOR/PRESIDENT) |
Authorized Official Contact | 8478310222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
David A Kanarek M.d. 4160 Illinois Route 83 Suite 303 Long Grove IL 60047-9586 Ph: (847) 634-2095 | David A Kanarek M.d. 4160 Illinois Route 83 Suite 303 Long Grove IL 60047-9586 Ph: (847) 634-2095 |
NPI Number | 1316172372 |
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Provider Enumeration Date | 05/20/2009 |
Last Update Date | 10/09/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316172372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Illinois) | Primary |
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