Search › Illinois › 2255A2300X
Stacey Weathers-Cannon
NPI 1538771076 · on the registry since 2020
Practice
- Address
- 650 Ingraham Ave
Calumet City, IL 60409 - Phone
- (708) 546-8208
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 222Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-08-17
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