Gary Kaniuk

NPI 1346361300 - Psychologist - 103TC0700X

NPI Details
NPI 1346361300
Gender Male
Enumeration Date 04/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1901 W HARRISON ST
CHICAGO IL, 60612-3714, US
Phone (773) 869-7602
Fax
Business Location
10206 KEDVALE AVE
OAK LAWN IL, 60453-4240, US
Phone
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State
License Number
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According to our database, Gary Kaniuk NPI is 1346361300, taxonomy code is 103TC0700X Gary Kaniuk physically located at 1901 W Harrison St, Chicago IL, 60612-3714. NPI Number Gary Kaniuk has the Individual type.

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1346361300 NPI number is provided on an as is basis without warranty of any kind. 1346361300 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Kaniuk are for informational purposes only.