Search › Illinois › 225X00000X
Jenna Kaneiss
NPI 1700100922 · on the registry since 2010 · sole proprietor
Practice
- Address
- 7447 Stacy Ct
Roscoe, IL 61073 - Phone
- (608) 212-1794
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-02
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