Individual
DR. ANDREW ADAM CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000
Mailing address
808 W UNIVERSITY LN UNIT 3A, CHICAGO, IL 60608-1063
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125051892
IL
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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