Individual
DR. JOHN T KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16105 S LA GRANGE RD, ORLAND PARK, IL 60467-5503
(708) 636-3767
(708) 636-4361
Mailing address
16105 S LA GRANGE RD, ORLAND PARK, IL 60467-5503
(708) 636-3767
(708) 636-4361
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036-049226
IL
207ND0900X
Dermatopathology Physician
036-049226
IL
Other
Enumeration date
06/14/2006
Last updated
12/29/2021
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