Individual
KENNEDY TUANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-7100
Mailing address
1542 W JACKSON BLVD BSMT, CHICAGO, IL 60607-5324
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041455491
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209-031020
IL
Other
Enumeration date
07/27/2023
Last updated
04/03/2025
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