Individual
ANNE M KINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1221 N HIGHLAND AVE, AURORA, IL 60506-1404
(630) 801-2678
Mailing address
1870 W GALENA BLVD, AURORA, IL 60506-4356
(630) 859-6700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-111234
IL
208M00000X
Hospitalist Physician
Primary
036-111234
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111234
—
IL
Enumeration date
07/12/2006
Last updated
06/29/2011
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