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NPI Code Detail

MEDICARE: DR JOHN F KANE INC

MEDICARE: DR JOHN F KANE INC
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
1213ES0103XFoot & Ankle Surgery Podiatrist016003376IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10060001282OTHERILBLUE CROSS & BLUE SHIELD

General Provider Information

NPI Number : 1740494996
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR JOHN F KANE INC
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 : DOCTOR/OWNER
Name : JOHN F KANE
Credential : DPM
Telephone Number : 773-685-3933
Provider Enumeration Date : 05/09/2007
Last Update Date : 05/31/2022

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