Individual
ANTONIA MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12052 S CICERO AVE, ALSIP, IL 60803-2313
(708) 489-9940
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01023350
MEDICARE RR
IL
Enumeration date
11/17/2009
Last updated
03/18/2025
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