Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 209001893 | IL |
NPI | 1043265390 |
---|---|
Provider Name | Cynthia Kane |
First Address | Hoffman Estates, IL 60169-1019 |
Second Address | Hoffman Estates, IL 60169-1019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 24/01/2013 |