DR. DDS, MS Mark L Cannon, NPI 1891731121
Pediatric Dentist in Long Grove, IL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1891731121
NPI Entity Type Individual
Provider Name DR. DDS, MS Mark L Cannon
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 4160 Rfd, Grove Medical Center, Suite 308, Long Grove, IL, US
Provider Mailing Address 4160 Rfd, Grove Medical Center, Long Grove, IL, US, 600479586
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

1223P0221X

Taxonomy Name Pediatric Dentist
Classification

Dentist

Group

Dental Providers

License State IL
Description An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Business Address

DR. DDS, MS Mark L Cannon
4160 Rfd
Grove Medical Center, Suite 308

Long Grove, IL, US

Phone: 847-634-6166

Mailing Address

DR. DDS, MS Mark L Cannon
4160 Rfd
Grove Medical Center
Long Grove, IL, US
ZIP 600479586
Phone: 847-634-6166

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1194448480

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Organization

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1871244426

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Aaa Medical Inc

Organization

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DR. PSY.D Iwona Konczak

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Julieanne Pojas, Psy.d. & Associates Pllc

Organization

Clinical Psychologist

153 Pointe Dr Unit 106

Northbrook, IL

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