IndividualActive
Anastasia Gant Kanegusuku
NPI 1912607698 · Clinical Pathology/Laboratory Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1912607698
- Entity type
- Individual
- Primary specialty
- Clinical Pathology/Laboratory Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- NA (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5841 S Maryland Ave # Mc0006
Chicago, IL 60637-1443
Phone: (773) 702-5338
Approximate (ZIP-level) locationGet directions
Mailing address
5841 S Maryland Ave # Mc0006
Chicago, IL 60637-1443
Registry dates
- Enumerated
- 2023-03-09
- Last updated
- 2023-03-09
- Certified
- 2023-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.