Cannon, Chantel

Cannon, Chantel is an individual health care provider with primary practice located at 450 W 14Th St , Chicago Heights IL 60411-2463. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Cannon, Chantel can be contacted via phone (708) 503-9670.

Contact Information

Primary practice address
450 W 14Th St Chicago Heights IL 60411-2463
Phone: (708) 503-9670
Fax: (708) 503-1218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1336783299
LBN Legal business name Cannon, Chantel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2019
Last updated Nov 4th, 2019 - about 5 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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