Individual
DR. MICHAEL F CANNONIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2000 MCDONALD RD, SOUTH ELGIN, IL 60177-3323
(224) 783-5000
Mailing address
2000 MCDONALD RD, SOUTH ELGIN, IL 60177-3323
(224) 783-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036105058
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BC7399125
CONTROLLED SUBSTANCE
—
Enumeration date
07/28/2006
Last updated
10/18/2010
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