Individual
DR. JOANN CAROL KANIA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5137 W CHICAGO AVE, CHICAGO, IL 60651-2904
(773) 378-4694
(773) 378-1294
Mailing address
2322 N MAPLEWOOD AVE, CHICAGO, IL 60647-3129
(312) 505-5987
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019017465
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002444
—
IL
Enumeration date
10/31/2005
Last updated
07/09/2007
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