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Individual

DR. CHARLES KANAKIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1875 DEMPSTER ST, SUITE 555, PARK RIDGE, IL 60068-1186
(847) 698-5500
(847) 698-0226
Mailing address
1875 DEMPSTER ST, SUITE 555, PARK RIDGE, IL 60068-1186
(847) 698-5500
(847) 698-0226

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036043311
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036043311
IL
Enumeration date
07/26/2006
Last updated
07/08/2007
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