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

Dr. Lisa Marie Cannon, MD

Individual provider Surgery Physician · NPI 1841450640

Dr. Lisa Marie Cannon, MD is a Colorectal Surgery (Proctology) in Chicago, Illinois. Graduated from University of Rochester School of Medicine and Dentistry in 2008, 18 years ago. Practices with University of Rochester Surgical Associates, a 51-clinician group and accepts Medicare assignment. Licensed in Illinois and New York.

Years since qualifying
18
Trained at
University of Rochester School of Medicine and Dentistry
Licensed in
IL, NY
In the registry since
2008
Specialties on file
3
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

5841 S Maryland Ave Mc 5094
Chicago, IL 60637-1447
Phone: (773) 834-3631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 036.132206 (IL)
Surgery Physician Taxonomy 208600000X · Licence 036.132206 (IL)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence 263195 (NY)

Record details

NPI number1841450640
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2008
Last updated in NPPESJune 30, 2023

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Also practisesGENERAL SURGERY
Medical schoolUNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated 2008 (18 years in practice)
Group practice University Of Rochester Surgical Associates — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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