Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cornita Cannon, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1013595297

Cornita Cannon, MD is an Obstetrics/Gynecology in Rockford, Illinois. Graduated from Saint Louis University School of Medicine in 2021, 5 years ago. Licensed in Illinois.

Years since qualifying
5
Trained at
Saint Louis University School of Medicine
Licensed in
IL
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1200 W State St
Rockford, IL 61102-2112
Phone: (815) 490-1600
Fax: (815) 490-1881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 036176354 (IL)

Record details

NPI number1013595297
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2021
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025
Mailing address1200 W State St, Rockford, IL 61102-2112

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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