Cannestra, Vincent P
Cannestra, Vincent P is an individual health care provider with primary practice located at 2350 Royal Blvd Suite 200, Elgin IL 60123-4719. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Cannestra, Vincent P can be contacted via phone (847) 931-5300.Contact Information
Primary practice address
2350 Royal Blvd Suite 200
Elgin IL 60123-4719
Phone: (847) 931-5300
Fax: (847) 931-9072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 036093781 | Illinois |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036093781 | Illinois |
Profile Details
| NPI number | 1598873473 |
|---|---|
| LBN Legal business name | Cannestra, Vincent P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Dec 17th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598873473 | NPPES |
| Illinois | MEDICAID | 036093781 | |
| Illinois | Other | 200036791 | |
| Illinois | Other | CG2631 | |
| Illinois | Other | 208821 | |
| Illinois | Other | 207906 | |
| Illinois | Other | CE6001 |
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