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14D0413046 CLIA NUMBER - DAVID A KANAREK MD LLC

Laboratory Demographics

CLIA Number: 14D0413046

Facility Name: DAVID A KANAREK MD LLC

Facility Address:
4160 ILLINOIS ROUTE 83, STE 303
LONG GROVE, IL
ZIP 60047
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Facility Phone Number: 847 634-2095

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1316172372

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 14D0413046
LAB Type Physician Office
Facility Name DAVID A KANAREK MD LLC
Street 4160 ILLINOIS ROUTE 83, STE 303
City LONG GROVE
State IL
ZIP 60047
Phone 847 634-2095
CertificateType 4
CertificateEffectiveDate 7/24/2022
CertificateExpirationDate 7/23/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024