Cannon, James J.

Cannon, James J. is an individual health care provider with primary practice located at 25 N Winfield Rd , Winfield IL 60190-1379. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Cannon, James J. can be contacted via phone (630) 933-6675.

Contact Information

Primary practice address
25 N Winfield Rd Winfield IL 60190-1379
Phone: (630) 933-6675
Fax: (630) 933-2614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 036103239 Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036103239 Illinois

Profile Details

NPI number 1134187099
LBN Legal business name Cannon, James J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Nov 6th, 2023 - about 2 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 1134187099 NPPES
Illinois MEDICAID 036103239

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