| Kannin Medical Group S.C. | |
|
6954 W Touhy Ave Ste 101 Niles IL 60714-4535 | |
| (847) 647-1771 | |
| (847) 647-5981 |
| Full Name | Kannin Medical Group S.C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6954 W Touhy Ave Ste 101, Niles, Illinois |
| Authorized Official Name and Position | Thomas Francis Kannin (DIRECTOR) |
| Authorized Official Contact | 8476471771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kannin Medical Group S.C. 6954 W Touhy Ave Ste 101 Niles IL 60714-4535 Ph: (847) 647-1771 | Kannin Medical Group S.C. 6954 W Touhy Ave Ste 101 Niles IL 60714-4535 Ph: (847) 647-1771 |
| NPI Number | 1689803462 |
|---|---|
| Provider Enumeration Date | 07/14/2009 |
| Last Update Date | 09/27/2020 |
| Certification Date | 09/27/2020 |
| Medicare PECOS PAC ID | 9032265053 |
|---|---|
| Medicare Enrollment ID | O20090916000491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689803462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036086448 (Illinois) | Primary |
| Provider Name | Thomas F Kannin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235132952 PECOS PAC ID: 9133275142 Enrollment ID: I20090916000472 |
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