Kanakis, Charles

Kanakis, Charles is an individual health care provider with primary practice located at 1875 Dempster St Suite 555, Park Ridge IL 60068-1186. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kanakis, Charles can be contacted via phone (847) 698-5500.

Contact Information

Primary practice address
1875 Dempster St Suite 555 Park Ridge IL 60068-1186
Phone: (847) 698-5500
Fax: (847) 698-0226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036043311 Illinois

Profile Details

NPI number 1407879802
LBN Legal business name Kanakis, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407879802 NPPES
Illinois MEDICAID 036043311

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