Organization
MARK CANTY MD, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK CANTY (OWNER)
(309) 258-7822
Entity
Organization
Contact information
Practice address
200 N POSTVILLE DR, LINCOLN, IL 62656-1978
(309) 258-7822
Mailing address
467 E HIGH POINT DR, PEORIA, IL 61614-2243
(309) 258-7822
(309) 213-3500
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
036082935
IL
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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