Individual
JOANNA M KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1625 N HARLEM AVE, CHICAGO, IL 60707
(708) 660-3111
Mailing address
617 S HARVEY AVE, OAK PARK, IL 60304-1516
(773) 225-6216
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209031350
IL
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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