GARY KANIUK – Clinical Psychologist, NPI 1346361300
Clinical Psychologist
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Provider Addresses for GARY KANIUK
1901 W HARRISON ST
CHICAGO, IL 606123714
Phone: (773) 869-7602
Type: Location
10206 KEDVALE AVE
OAK LAWN, IL 604534240
Phone:
Type: Mailing
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-11-11
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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