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Individual
DR. VERNON TERENCE CANNON
Active
Individual
DR. VERNON TERENCE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036116379
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036116379
—
IL
01
—
P00714795
RR MEDICARE
IL
Enumeration date
08/14/2006
Last updated
01/20/2011
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