Organization Active NPI

David a Kanarek M.D.

  • Internal Medicine Physician
  • Long Grove, IL
National Provider Identifier
1316172372
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DAVID A KANAREK M.D.
Practice address
4160 Illinois Route 83
Suite 303
Long Grove, IL 60047-9586
Phone
(847) 634-2095
NPI assigned
May 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Authorized official

Name
Dr. David A Kanarek, M.D.NPI 1437189842
Title
Medical Doctor/President
Phone
(847) 831-0222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X IL Primary

Addresses

Primary practice location

4160 Illinois Route 83
Suite 303
Long Grove, IL 60047-9586

Mailing address

4160 Illinois Route 83
Suite 303
Long Grove, IL 60047-9586
Phone (847) 634-2095

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1316172372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 ILLINOIS ROUTE 83",
            "address_2": "SUITE 303",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600479586",
            "telephone_number": "847-634-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 ILLINOIS ROUTE 83",
            "address_2": "SUITE 303",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600479586",
            "telephone_number": "847-634-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A KANAREK M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "KANAREK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "847-831-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.