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NPI Code Detail

MEDICARE: DR. JOHN F KANE DPM

MEDICARE: DR. JOHN F KANE DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246ZC0007XSurgical Assistant238.000475IL
2213ES0103XFoot & Ankle Surgery Podiatrist016003376IL

General Provider Information

NPI Number : 1710921382
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN F KANE DPM
Provider Business Mailing Address
First Line : 3936 N CENTRAL AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60634-2732
Country : US
Telephone Number : 773-685-3933
Fax Number : 773-685-2416
Provider Business Practice Location Address
First Line : 3936 N CENTRAL AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60634-2732
Country : US
Telephone Number : 773-685-3933
Fax Number : 773-685-2416
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 05/28/2022

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