Provider Demographics
NPI:1619011202
Name:KANE CARDIAC DIAGNOSTICS, LLC
Entity Type:Organization
Organization Name:KANE CARDIAC DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:
Authorized Official - Last Name:GIANGREGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-232-0280
Mailing Address - Street 1:351 DELNOR DR.
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:630-232-6249
Mailing Address - Fax:630-938-4384
Practice Address - Street 1:351 DELNOR DR.
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:630-232-6249
Practice Address - Fax:630-938-4384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty