Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE L KANNAN, M.D.
Active Sole ProprietorJACQUELINE L KANNAN, M.D. is a Rheumatology healthcare provider located in MCHENRY, Illinois. NPI 1588058606 is currently active in the NPPES registry. Verify at CMS.
Rheumatology · MCHENRY, IL
Registration Details
- NPI Number
- 1588058606
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 26, 2015 (11.358229036325 yrs)
- Last Updated
- Dec 21, 2021
- License
-
036-152551 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4119 W SHAMROCK LNMCHENRY, IL, 600508268Browse IL providers · Browse ZIP 60050
- Phone
- 8153989491
- Fax
- 8153817498
- Primary Specialty
-
Rheumatology
207RR0500X
Other Rheumatology Providers in MCHENRY, IL
| Name | Credential | NPI |
|---|---|---|
| UMBER AHMAD | DO | 1083957153 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.