Individual
JONATHAN D KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2020 W ILES AVE, SPRINGFIELD, IL 62704-4174
(217) 698-3030
Mailing address
2020 W ILES AVE, SPRINGFIELD, IL 62704-4174
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046012087
IL
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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