Provider Demographics
NPI:1184841959
Name:KANE, M. ELIZABETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:M.
Middle Name:ELIZABETH
Last Name:KANE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4885 HOFFMAN BLVD
Mailing Address - Street 2:SUITE #300
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192
Mailing Address - Country:US
Mailing Address - Phone:847-428-4646
Mailing Address - Fax:847-428-4560
Practice Address - Street 1:4885 HOFFMAN BLVD
Practice Address - Street 2:SUITE #300
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192
Practice Address - Country:US
Practice Address - Phone:847-428-4646
Practice Address - Fax:847-428-4560
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190173971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice