Kancius, Christine Celeste

Kancius, Christine Celeste is an individual health care provider with primary practice located at 1945 S Main St , Morton IL 61550. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Kancius, Christine Celeste can be contacted via phone (309) 263-1017.

Contact Information

Primary practice address
1945 S Main St Morton IL 61550
Fax: (309) 266-5864
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X Illinois

Profile Details

NPI number 1013928365
LBN Legal business name Kancius, Christine Celeste
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Apr 16th, 2008 - about 16 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 1013928365 NPPES
Illinois Other DA0891 PALMETTO GBA- RAILROAD ME

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