Organization
IPA OF KANE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN N. HNATUSKO (ADMINISTRATOR)
(877) 226-3676
Entity
Organization
Contact information
Practice address
8529 W. 191ST STREET, MOKENA, IL 60448
(877) 226-3676
(877) 226-3811
Mailing address
P.O. BOX 728, FRANKFORT, IL 60423
(877) 226-3676
(877) 226-3811
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
08/27/2008
Last updated
10/26/2013
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