Individual
NICHOLAS CANNATARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1355 REMINGTON RD, SCHAUMBURG, IL 60173-4832
(630) 912-2930
Mailing address
125 REGENCY DR, BARTLETT, IL 60103-4442
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.004609
IL
363A00000X
Physician Assistant
PA08929
TX
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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