Cannon, Frederick

Cannon, Frederick is an individual health care provider with primary practice located at 1919 Main St Hope Hall, Melrose Park IL 60160-6016. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Cannon, Frederick can be contacted via phone (312) 810-4340.

Contact Information

Primary practice address
1919 Main St Hope Hall Melrose Park IL 60160-6016
Phone: (312) 810-4340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Illinois

Profile Details

NPI number 1659075752
LBN Legal business name Cannon, Frederick
Credentials QMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2023
Last updated Mar 30th, 2023 - about 3 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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