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Organization

DR KANIA FAMILY CARE, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AGNIESZKA KANIA M.D. (PRESIDENT)
(708) 655-5099
Entity
Organization

Contact information

Practice address
770 E NORTHWEST HWY, MOUNT PROSPECT, IL 60056-3464
(708) 655-5099
Mailing address
8650 PALMER ST, RIVER GROVE, IL 60171-1908
(708) 655-5099

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
IL

Other

Enumeration date
06/19/2007
Last updated
02/05/2008
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