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Individual

CYNTHIA NKANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
812 N LOGAN AVE, DANVILLE, IL 61832-3752
(217) 443-5000
Mailing address
PO BOX 532904, ATLANTA, GA 30353-2904
(217) 443-5000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36064339
IL
01
9232012
BCBS
IL
01
DA4244
RR MEDICARE GROUP
IL
01
P00025691
RR MEDICARE
IL
Enumeration date
11/22/2006
Last updated
10/18/2007
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