Provider Demographics
NPI:1508940883
Name:KANE CARDIOLOGY S.C.
Entity Type:Organization
Organization Name:KANE CARDIOLOGY S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:KEFER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-232-0280
Mailing Address - Street 1:351 DELNOR DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-4205
Mailing Address - Country:US
Mailing Address - Phone:630-232-0280
Mailing Address - Fax:630-232-3895
Practice Address - Street 1:351 DELNOR DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-4205
Practice Address - Country:US
Practice Address - Phone:630-232-0280
Practice Address - Fax:630-232-3895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL04520034OtherBLUE CROSS BLUE SHIELD
IL1003803552Medicare PIN
IL1376530634Medicare PIN
IL04520034OtherBLUE CROSS BLUE SHIELD
IL110102570Medicare PIN
IL060029865Medicare PIN
ILCA5609Medicare PIN
IL060029864Medicare PIN
IL1174591531Medicare PIN
IL366090Medicare PIN