Individual
DR. MARY J CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
545 PLAINFIELD RD, SUITE C, WILLOWBROOK, IL 60527-7600
(630) 354-2229
(630) 655-3270
Mailing address
75 REMITTANCE DRIVE, SUITE 3247, CHICAGO, IL 60675-3247
(630) 654-2229
(630) 655-3850
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-068702
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022238446
BCBS
—
Enumeration date
08/29/2006
Last updated
01/26/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us