Jacqueline Kannan, M.D

NPI 1588058606 · on the registry since 2015 · sole proprietor

Practice

Address: 4119 W Shamrock Ln
Mchenry, IL 60050
Phone: (815) 398-9491
Fax: (815) 381-7498
Organisation at this address: Orthomidwest, Pllc
George L Stankevych Md Pc
J & K Pediatrics And Associates, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 207RR0500X
207RR0500X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-12-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois