Cannon, Vernon Terence
Cannon, Vernon Terence is an individual health care provider with primary practice located at 231 S Gary Ave Ste 114, Bloomingdale IL 60108-2234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Cannon, Vernon Terence can be contacted via phone (630) 893-8585.Contact Information
Primary practice address
231 S Gary Ave Ste 114
Bloomingdale IL 60108-2234
Phone: (630) 893-8585
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036116379 | Illinois |
Profile Details
| NPI number | 1740293703 |
|---|---|
| LBN Legal business name | Cannon, Vernon Terence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Jan 20th, 2011 - about 14 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 | 1740293703 | NPPES |
| Illinois | MEDICAID | 036116379 | |
| Illinois | Other | P00714795 |
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