Healthcare Provider Details

I. General information

NPI: 1508940883
Provider Name (Legal Business Name): KANE CARDIOLOGY S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 DELNOR DRIVE SUITE 100
GENEVA IL
60134-4205
US

IV. Provider business mailing address

351 DELNOR DRIVE SUITE 100
GENEVA IL
60134-4205
US

V. Phone/Fax

Practice location:
  • Phone: 630-232-0280
  • Fax: 630-232-3895
Mailing address:
  • Phone: 630-232-0280
  • Fax: 630-232-3895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. JOHN A KEFER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 630-232-0280