Phillip Cannizzaro in North Riverside - General Practice

Phillip Cannizzaro - NPI 1629130620

Phillip Cannizzaro is a General Practice in North Riverside, Illinois. Phillip Cannizzaro practices all healthcare services and medical treatments related to General Practice. The NPI Number for Phillip Cannizzaro is 1629130620. The last update date is 2007-07-08.

Phillip Cannizzaro's current location address is 3006 S. Desplaines Ave., North Riverside, Illinois. You can contact this provider via phone number 7084478385 and fax number 7084478400. The mailing address for Phillip Cannizzaro is 3006 S. Desplaines Ave., North Riverside, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Phillip Cannizzaro
Address 3006 S. Desplaines Ave., North Riverside, Illinois
Phone Number 7084478385
Fax Number 7084478400
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1629130620
Provider Enumeration Date 2006-12-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3006 S. Desplaines Ave.
City North Riverside
State Illinois (IL)
Post Code 60546
Phone Number 7084478385
Fax Number 7084478400

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 19A13321
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Phillip Cannizzaro

What is the unique 10-digit identification code assigned to Phillip Cannizzaro by the Centers for Medicare & Medicaid Services?

The Phillip Cannizzaro has been issued the NPI (National Provider Identifier) 1629130620, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Phillip Cannizzaro is physically located?

The Phillip Cannizzaro is physically situated at the following address: 3006 S. Desplaines Ave., North Riverside, IL, 60546.

What is Phillip Cannizzaro's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Phillip Cannizzaro is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

When did the Phillip Cannizzaro receive its 1629130620?

The Phillip Cannizzaro was issued its 1629130620 on 2006-12-15, which is the date when the organization was assigned this unique identifier.

When was the information related to Phillip Cannizzaro most recently updated or refreshed?

The details pertaining to the Phillip Cannizzaro, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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