David a Kanarek M.d.

NPI #1316172372 in Long Grove, Illinois

Provider Information

NPI Number: 1316172372
Entity Type: Organization
Organization Name: David a Kanarek M.d.
Primary Specialty: Internal Medicine
Enumeration Date: May 20, 2009
Last Updated: Oct 9, 2009

Practice Location

Address: 4160 ILLINOIS ROUTE 83
Address 2: SUITE 303
City: Long Grove
State: Illinois
ZIP Code: 60047-9586
Phone: (847) 634-2095

Authorized Official

Name: DR. DAVID A KANAREK, M.D.
Title: MEDICAL DOCTOR/PRESIDENT
Phone: (847) 831-0222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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