Individual
DR. CHRISTINE CELESTE KANCIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1945 S MAIN ST, MORTON, IL 61550
(309) 263-1017
(309) 266-5864
Mailing address
3827 N PROSPECT RD, PEORIA, IL 61616
(309) 686-1000
(309) 686-8174
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA0891
PALMETTO GBA- RAILROAD ME
IL
Enumeration date
08/11/2006
Last updated
04/16/2008
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