JACQUELINE L KANNAN

MCHENRY, IL
NPI1588058606
Former NameJACQUELINE L VAIDYA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207RR0500X Internal Medicine Rheumatology
(Licence: IL  036-152551)
Enumeration Date2015-03-26
Last Update Date2021-12-21
Business Address
JACQUELINE L KANNAN M.D.
4119 W SHAMROCK LN
MCHENRY, IL 60050-8268
Phone number: 815-398-9491
Mailing Address
JACQUELINE L KANNAN M.D.
BOX 78534
MILWAUKEE, WI 53278-8534
Phone number: 815-398-9491
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