Search › Illinois › 363A00000X
Colleen Canavan, PA
NPI 1205090644 · on the registry since 2008
Practice
- Address
- 390 Maple Summit Rd
Jerseyville, IL 62052 - Phone
- (618) 498-2101
- Fax
- (618) 498-8153
- Organisation at this address
- Jersey Community Hospital
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-09-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois