Philip William Cannizzaro
Philip William Cannizzaro is a General Practice Dentistry in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2020.
- Licensed in
- IL
- In the registry since
- 2020
Practice location Address checks out
801 S Paulina StChicago, IL 60612-7210
Phone: (312) 996-7514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 019.032746 (IL) |
|---|
Record details
| NPI number | 1972121234 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 13, 2020 |
| Last updated in NPPES | July 13, 2020 |
| Certification date | July 13, 2020 |
| Mailing address | 6n254 Glendale Rd, Medinah, IL 60157-9729 |
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