# CANARY TELEHEALTH INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457771792
- **Authorized official:** DR. SAM ROBINSON III PHD (PRESIDENT)
- **Authorized official phone:** (312) 780-0812

## Contact information

- **Practice address:** 3151 S MICHIGAN AVE, CHICAGO, IL 60616-3814
- **Practice address phone:** (312) 780-0812
- **Practice address fax:** (312) 326-1364
- **Mailing address:** 3151 S MICHIGAN AVE, CHICAGO, IL 60616-3814
- **Mailing address phone:** (312) 780-0812
- **Mailing address fax:** (312) 326-1364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 04/25/2014
- **Last updated:** 05/11/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 14D2137826 | CLIA | IL |