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Contact Information

VINCENT P CANNESTRA, MD
2350 ROYAL BLVD
SUITE 200
ELGIN, IL60123-4719
 Phone: 847-931-5300
 Fax: 847-931-9072
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for VINCENT P CANNESTRA · (Male)

NPI # 1598873473
Status Active
Credentials MD
Entity Individual
Enumeration date 08/29/2006
Last updated 12/17/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036093781
  • IL Medicaid 036093781
  • Other 208821 MEDICARE GRP KANE
  • Other 207906 MEDICARE GRP MCHENRY
  • Other CE6001 RR MEDICARE GRP KANE
  • Other CG2631 RR MEDICARE MCHENRY
  • Other 200036791 RR MEDICARE PROV ID
Hospital affiliation(s)
  • PROVENA - SAINT JOSEPH HOSPITAL - (Acute Care)
    77 N AIRLITE STREET
    ELGIN, IL 60123
  • SHERMAN HOSPITAL - (Acute Care)
    1425 NORTH RANDALL ROAD
    ELGIN, IL 60123
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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