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Kanu Panchal Mdsc
Specialist in Mchenry, Illinois
NPI 1033231675

Kanu Panchal Mdsc is a Specialist based in Mchenry, IL. Kanu Panchal Mdsc practices in Mchenry, IL. The NPI Number for Kanu Panchal Mdsc is 1033231675 and holds a License No. 036056972 (Illinois).

The current practice location address for Kanu Panchal Mdsc is 4309 W Medical Center Dr, Mchenry, IL and can be reached out via phone at 815-344-0175 and via fax at 815-344-0145.

Location: 4309 W Medical Center Dr, Mchenry, IL, 60050-8419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033231675
Provider Name
Kanu Panchal Mdsc
Credential
Provider Entity Type
Organization
Address
4309 W Medical Center Dr, Mchenry, IL, 60050-8419
Phone Number
815-344-0175
Fax Number
815-344-0145
Provider Enumeration Date
04/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21609919 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4309 W Medical Center Dr
City
Mchenry
State
Illinois
Zip
60050-8419
Phone Number
815-344-0175
Fax Number
815-344-0145
person
Provider Business Mailing Address Details
Address
4309 W Medical Center Dr
City
Mchenry
State
Illinois
Zip
60050-8419
Phone Number
815-344-0175
Fax Number
815-344-0145
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036056972 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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