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Individual
DR. MICHAEL F CANNONIE
Active
Individual
DR. MICHAEL F CANNONIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036105058
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BC7399125
CONTROLLED SUBSTANCE
—
Enumeration date
07/28/2006
Last updated
10/18/2010
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