Dedra Dea Cannon

  • NPI 1992384176
According to our database, the NPI number for Dedra Dea Cannon is 1992384176 and activated since 3 years ago. Dedra Dea Cannon is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 1909 Cheker Sq, East Hazel Crest, IL 60429. You can also contact Dedra Dea Cannon via telephone number is (708) 647-3333. Provider NPI information was last updated on 04/06/2021.

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Overview of Dedra Dea Cannon

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 04/06/2021
  • Last updated: 04/06/2021

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 1909 Cheker Sq
    East Hazel Crest, IL 60429
  • Phone: 708-647-3333
  • Fax:

Provider Practice Location

  • Address: 1909 Cheker Sq
    East Hazel Crest, IL 60429
  • Phone: 708-647-3333
  • Fax:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Dedra Dea Cannon?
  • A: The npi number for Dedra Dea Cannon is 1992384176.
  • Q: What are Dedra Dea Cannon's specialties?
  • A: Dedra Dea Cannon's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Dedra Dea Cannon?
  • A: The medical license number for Dedra Dea Cannon is unknow and issued in unknow in USA.
  • Q: Where is Dedra Dea Cannon practice location?
  • A: Dedra Dea Cannon is practicing at 1909 Cheker Sq, East Hazel Crest, IL 60429.
  • Q: How to contact Dedra Dea Cannon?
  • A: You can contact Dedra Dea Cannon via 708-647-3333.
Medicare Specialty
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