Organization
CANARY TELEHEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM ROBINSON III PHD (PRESIDENT)
(312) 780-0812
Entity
Organization
Contact information
Practice address
3151 S MICHIGAN AVE, CHICAGO, IL 60616-3814
(312) 780-0812
(312) 326-1364
Mailing address
3151 S MICHIGAN AVE, CHICAGO, IL 60616-3814
(312) 780-0812
(312) 326-1364
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
251B00000X
Case Management Agency
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14D2137826
CLIA
IL
Enumeration date
04/25/2014
Last updated
05/11/2026
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