Organization
CANO HEALTH ILLINOIS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLOW BLAS HERNANDEZ DO (CEO)
(954) 514-9360
Entity
Organization
Contact information
Practice address
3650 W ARMITAGE AVE, CHICAGO, IL 60647-3611
(855) 226-6633
Mailing address
9725 NW 117TH AVE STE 200, MEDLEY, FL 33178-1260
(954) 514-9360
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
11/12/2021
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