Individual
MICHAEL KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1901 N CLYBOURN AVE, CHICAGO, IL 60614-5090
(773) 472-0560
Mailing address
6104 N ORIOLE AVE, CHICAGO, IL 60631-3830
(773) 351-6888
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008072
IL
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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