Individual
SUSAN M CANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 MAIN ST STE 300, PEORIA, IL 61606-2036
(309) 495-0250
(309) 495-0276
Mailing address
1001 MAIN ST STE 300, PEORIA, IL 61606-2036
(309) 495-0250
(309) 495-0276
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085000387
IL
Other
Enumeration date
05/10/2006
Last updated
10/19/2011
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