PHILIP WILLIAM CANNIZZARO


Address: 801 S Paulina St, Chicago, IL 60612-7210
Phone: 3129967514

PHILIP WILLIAM CANNIZZARO (NPI# 1972121234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972121234
Entity Type Individual
Full Name PHILIP WILLIAM CANNIZZARO
Practice Address 801 S Paulina St
Chicago
IL 60612-7210
Mailing Address 6n254 Glendale Rd
Medinah
IL 60157-9729
Practice Telephone 3129967514
Mailing Telephone 6307121422
Enumeration Date 2020-07-13
Last Update Date 2020-07-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
019.032746 IL Dental Providers

Office Location

Street Address 801 S PAULINA ST
City CHICAGO
State IL
Zip Code 60612-7210

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124018841 Carlotta Ann Evans Dentist 801 S Paulina St, Mc 841, Chicago, IL 60612-7210 2005-10-25
1215537113 Jose A Villanueva Iv Student in an Organized Health Care Education/Training Program 801 S Paulina St, Chicago, IL 60612-7210 2020-10-29
1528666229 Michelle Akemi Marcano Dentist 801 S Paulina St, Chicago, IL 60612-7210 2020-10-14
1558969527 Maysaa Oubaidin Dentist 801 S Paulina St, Chicago, IL 60612-7210 2020-10-13
1639789936 Jacqueline M Wisinski Dentist 801 S Paulina St, Chicago, IL 60612-7210 2020-08-03
1740898709 Alexandria Rozgony Dentist 801 S Paulina St, Chicago, IL 60612-7210 2020-07-16
1679191928 Milica Novakovic Dentist 801 S Paulina St, Chicago, IL 60612-7210 2020-07-13
1144847740 Nada Abdallah Dentist 801 S Paulina St, Chicago, IL 60612-7210 2020-06-30
1356964480 Pheba Marin Abraham Dentist 801 S Paulina St, Chicago, IL 60612-7210 2020-05-23
1891315917 Bhakti Desai Student in an Organized Health Care Education/Training Program 801 S Paulina St, Chicago, IL 60612-7210 2020-04-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1568080174 Nastaran Ordoyo Haghani Rad Student in an Organized Health Care Education/Training Program 1950 W. Polk Street, Room 6203, Chicago, IL 60612 2020-07-09
1669090403 Marianne Gagnon-konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1922625672 Tanya Montgomery Nee Brown Pediatrics 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 2020-06-29
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1831711381 Baillie Anne Bronner Obstetrics & Gynecology 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 2020-05-07
1154942449 Keisha Davell Cole Case Manager/Care Coordinator 612 S Western Ave Unit 1, Chicago, IL 60612 2020-04-28
1275153777 Isac Lim Student in an Organized Health Care Education/Training Program 1234 S. Wells, Chicago, IL 60612 2020-04-24
1578183414 Zachary Belden Student in an Organized Health Care Education/Training Program Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 2020-04-21
1548880560 Christina Nunez Student in an Organized Health Care Education/Training Program 801 S. Paulina Street, M/c 850, Chicago, IL 60612 2020-04-20
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295340628 Karina Valentin Dentist 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 2020-09-11
1679181895 Robert J Chacon Dentist 15 S Throop St Apt 206, Chicago, IL 60607-2522 2020-07-14
1629693304 Priyanka Sikka Dentist 300 W Grand Ave Apt 303, Chicago, IL 60654-7855 2020-06-09
1164045456 Yong Chang Dds PC. Dentist 3531 N Western Ave Unit B, Chicago, IL 60618-6025 2020-05-21
1699301358 Marcella Guzman P.C. Dentist 3236 W. Fullerton Ave., Chicago, IL 60647 2020-03-13
1831749944 Kenwood Dental Group Dentist 1335 E 87th St Ste A, Chicago, IL 60619-7036 2019-09-19
1508412875 Kamal Paresh Patel Dentist 1040 W Randolph St, Chicago, IL 60607-2215 2019-08-13
1003469636 Ahmed Mansour Dentist 2122 N Milwaukee Ave Ste 1, Chicago, IL 60647-4251 2019-07-23
1568024925 John Michael Burnheimer II Dentist 11 S Green St Unit 1106, Chicago, IL 60607-1031 2019-07-05
1497317515 Prasanth Dommaraju Dentist 3924 S Archer Ave, Chicago, IL 60632-1116 2019-06-29
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60612

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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