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NPI Code Detail

MEDICARE: MICHAEL R KINNEY M.D.

MEDICARE:   MICHAEL R KINNEY  M.D.
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
1208600000XSurgery Physician036065367IL

General Provider Information

NPI Number : 1578566394
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL R KINNEY M.D.
Provider Business Mailing Address
First Line : 1700 W CENTRAL RD STE 50
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-2477
Country : US
Telephone Number : 847-797-9000
Fax Number : 847-797-9099
Provider Business Practice Location Address
First Line : 1700 W CENTRAL RD STE 50
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-2477
Country : US
Telephone Number : 847-797-9000
Fax Number : 847-797-9099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 03/21/2018

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Directions to “ MICHAEL R KINNEY M.D.” Practice Location

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