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1679933527
KEVIN KISSANE
CHICAGO, IL
NPI
1679933527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: IL 209-002655)
Enumeration Date
2016-03-03
Last Update Date
2016-03-03
Business Address
Mr. KEVIN KISSANE ACNP-BC
1653 W CONGRESS PKWY
CHICAGO, IL 60612-3833
Phone number: 312-942-5878
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Mailing Address
Mr. KEVIN KISSANE ACNP-BC
3654 S UNION AVE
CHICAGO, IL 60609-1647
Phone number: 630-207-5386
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