Organization
JOSEPH CANZONA DDS MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH E CANZONA D.D.S, M.S., M.D. (OWNER)
(847) 328-8899
Entity
Organization
Contact information
Practice address
2500 RIDGE AVENUE, SUITE 302, EVANSTON, IL 60201-2477
(847) 328-8899
(847) 328-3545
Mailing address
2500 RIDGE AVENUE, SUITE 302, EVANSTON, IL 60201-2477
(847) 328-8899
(847) 328-3545
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
36064858
IL
Other
Enumeration date
04/09/2008
Last updated
05/22/2012
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