Individual
DR. ANTHONY JOHN CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
446 E ONTARIO ST, STE 7-200, CHICAGO, IL 60611-4418
(312) 926-2323
Mailing address
446 E ONTARIO ST, STE 7-200, CHICAGO, IL 60611-4418
(312) 926-2323
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125062737
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2013
Last updated
07/13/2014
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