Individual
KONSTANTINOS EFTHIMIOS KANAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-3055
(312) 926-1900
(312) 926-5500
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-4533
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
036165447
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
125.075525
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
07/25/2024
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