# KANNIN MEDICAL GROUP S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689803462
- **Authorized official:** DR. THOMAS FRANCIS KANNIN M.D. (DIRECTOR)
- **Authorized official phone:** (847) 647-1771

## Contact information

- **Practice address:** 6954 W TOUHY AVE STE 101, NILES, IL 60714-4535
- **Practice address phone:** (847) 647-1771
- **Practice address fax:** (847) 647-5981
- **Mailing address:** 6954 W TOUHY AVE STE 101, NILES, IL 60714-4535
- **Mailing address phone:** (847) 647-1771
- **Mailing address fax:** (847) 647-5981

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036086448 | IL | Yes |

## Other

- **Enumeration date:** 07/14/2009
- **Last updated:** 09/27/2020