Individual
MRS. ANN E KINNEALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 AUSTIN ST, STE 557, EVANSTON, IL 60202-3456
(847) 869-2076
(847) 475-3414
Mailing address
2740 W FOSTER AVE, LL7, CHICAGO, IL 60625
(773) 878-8200
(773) 293-4197
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
036050081
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036050081
—
IL
Enumeration date
09/20/2005
Last updated
01/13/2016
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