Cannizzaro, Phillip

Cannizzaro, Phillip is an sole proprietor health care provider with primary practice located at 3006 Desplaines Ave , North Riverside IL 60546-1861. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Cannizzaro, Phillip can be contacted via phone (708) 447-8385.

Contact Information

Primary practice address
3006 Desplaines Ave North Riverside IL 60546-1861
Fax: (708) 447-8400
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19A13321 Illinois

Profile Details

NPI number 1629130620
LBN Legal business name Cannizzaro, Phillip
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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