Canavan, Brian A

Canavan, Brian A is an sole proprietor health care provider with primary practice located at 2160 S First Avenue Loyola University Medical Center, Chicago IL 60153. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Canavan, Brian A can be contacted via phone (617) 838-3852.

Contact Information

Primary practice address
2160 S First Avenue Loyola University Medical Center Chicago IL 60153
Phone: (617) 838-3852
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036.118840 Illinois

Profile Details

NPI number 1851384093
LBN Legal business name Canavan, Brian A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2005
Last updated Oct 7th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers