Individual
JOHN H CANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9611 165TH ST, SUITE 14, ORLAND PARK, IL 60467-5654
(708) 403-0071
Mailing address
565 W QUINCY ST, APT. 1607, CHICAGO, IL 60661-2901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028284
IL
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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