Cann, Stephen Richard

Cann, Stephen Richard is an sole proprietor health care provider with primary practice located at 606 Academy Dr , Northbrook IL 60062-2421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Cann, Stephen Richard can be contacted via phone (847) 559-9345.

Contact Information

Primary practice address
606 Academy Dr Northbrook IL 60062-2421
Fax: (847) 559-9225
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036-055232 Illinois

Profile Details

NPI number 1144237413
LBN Legal business name Cann, Stephen Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Mar 22nd, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144237413 NPPES
Illinois MEDICAID 036-055232
Illinois Other 0031600066

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