Kanarek, David A

Kanarek, David A is an individual health care provider with primary practice located at Rfd 4160 Suite 304, Long Grove IL 60047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kanarek, David A can be contacted via phone (847) 634-2090.

Contact Information

Primary practice address
Rfd 4160 Suite 304 Long Grove IL 60047
Phone: (847) 634-2090
Fax: (847) 634-2140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036057417 Illinois

Profile Details

NPI number 1437189842
LBN Legal business name Kanarek, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 9th, 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 1437189842 NPPES
Illinois Other 004932170 BCBS PROVIDER #
Illinois Other 204843 BCBS PROVIDER #

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