Organization
MPAC ACO REACH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN CANNONE DO (CMO)
(330) 328-3167
Entity
Organization
Contact information
Practice address
3000 N HALSTED ST STE 803, CHICAGO, IL 60657-6185
(312) 447-1941
Mailing address
2045 W GRAND AVE STE B, CHICAGO, IL 60612-1577
(888) 705-8722
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
11/26/2024
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