| Stephen R. Cann, M.d. | |
|
2530 Crawford Ave Ste 104 Evanston IL 60201-4954 | |
| (847) 559-9345 | |
| (847) 559-9225 |
| Full Name | Stephen R. Cann, M.d. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2530 Crawford Ave Ste 104, Evanston, Illinois |
| Authorized Official Name and Position | Stephen Richard Cann (PRESIDENT) |
| Authorized Official Contact | 8475599345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen R. Cann, M.d. 1015 Willow Rd Winnetka IL 60093-3636 Ph: (847) 559-9345 | Stephen R. Cann, M.d. 2530 Crawford Ave Ste 104 Evanston IL 60201-4954 Ph: (847) 559-9345 |
| NPI Number | 1124341458 |
|---|---|
| Provider Enumeration Date | 03/01/2010 |
| Last Update Date | 05/17/2021 |
| Certification Date | 05/17/2021 |
| Medicare PECOS PAC ID | 1759579337 |
|---|---|
| Medicare Enrollment ID | O20101223000275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124341458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036055232 (Illinois) | Primary |
| Provider Name | Stephen R Cann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144237413 PECOS PAC ID: 6204024888 Enrollment ID: I20101223000283 |
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