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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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