Individual
DR. STEPHEN RICHARD CANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
606 ACADEMY DR, NORTHBROOK, IL 60062-2421
(847) 559-9345
(847) 559-9225
Mailing address
606 ACADEMY DR, NORTHBROOK, IL 60062-2421
(847) 559-9345
(847) 559-9225
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-055232
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031600066
BLUE CROSS/BLUE SHIELD IL
IL
05
—
036-055232
—
IL
Enumeration date
08/01/2006
Last updated
03/22/2013
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