Kanu Panchal MDSC

Primary specialty

SpecialistTaxonomy code 174400000X

License

036056972 Issued in IL

Legal business name

KANU PANCHAL MDSC

Practice address

4309 W Medical Center Dr
Suite B301
McHenry, IL 60050-8419

Phone

(815) 344-0175

Fax

(815) 344-0145

NPI assigned

Apr 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kanu Panchal, MDNPI 1659463503

Title

Owner

Phone

(815) 344-0175

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Neuro Spine Center of Northern Illinois SC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kanu Panchal, MD

  • Neurological Surgery Physician
  • McHenry, IL
  • NPI 1659463503
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1033231675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR",
            "address_2": "SUITE B301",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508419",
            "telephone_number": "815-344-0175",
            "fax_number": "815-344-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR",
            "address_2": "SUITE B301",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508419",
            "telephone_number": "815-344-0175",
            "fax_number": "815-344-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANU PANCHAL MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "PANCHAL",
        "authorized_official_first_name": "KANU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-344-0175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036056972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21609919",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuro Spine Center of Northern Illinois SC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christine Kane
• Jaclyn Renee Kane, MSN, PMHNP-BC
• Hiejin Kang, MD
• Walter Kang, PHARMD
• Jacqueline L Kannan, M.D.
• Joseph Kappil, M.D.
• Suheyla Karaduman, MD
• Anoop H. Karna, M.D.
• Sandhya R Karna, MD
• Zachary James Karr, LCSW

• Specialist in McHenry, IL
• Providers in McHenry, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.