Provider Demographics
NPI:1659368918
Name:KANIA, FRANCIS A (DPM)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:A
Last Name:KANIA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1943 S MANNHEIM RD
Mailing Address - Street 2:
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-4322
Mailing Address - Country:US
Mailing Address - Phone:708-352-3338
Mailing Address - Fax:708-352-9933
Practice Address - Street 1:1943 S MANNHEIM RD
Practice Address - Street 2:
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-4322
Practice Address - Country:US
Practice Address - Phone:708-352-3338
Practice Address - Fax:708-352-9933
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-03
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016-004236213E00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
480006642OtherRRB PTAN NUMBER
IL016004236Medicaid
IL016004236Medicaid
IL787760Medicare ID - Type Unspecified
0659460001Medicare NSC