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Contact Information

JASON A CANNER, DO
4440 W 95TH ST
OAK LAWN, IL60453
 Phone: 708-684-4094
 Fax: 708-684-5141
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JASON A CANNER · (Male)

NPI # 1659566388
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/06/2007
Last updated 04/20/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-120414
  • OH License # 34008593
Hospital affiliation(s)
  • ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER - (Acute Care)
    4440 W 95TH STREET
    OAK LAWN, IL 60453
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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