# CANSLER HEALTH ASSO., S.C.

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

## Provider details

- **NPI number:** 1891988564
- **Authorized official:** DR. GAIL D.H. CANSLER M.D. (PRESIDENT)
- **Authorized official phone:** (709) 755-3300

## Contact information

- **Practice address:** 30 E 15TH ST, SUITE 306, CHICAGO HEIGHTS, IL 60411-3459
- **Practice address phone:** (708) 755-3300
- **Mailing address:** 30 E 15TH ST, SUITE 306, CHICAGO HEIGHTS, IL 60411-3459
- **Mailing address phone:** (708) 755-3300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 036066127 | IL | Yes |

## Other

- **Enumeration date:** 08/24/2007
- **Last updated:** 08/24/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036066127 | — | IL |