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Search › Illinois › 104100000X

Frederick Cannon, QMHP

NPI 1659075752 · on the registry since 2023

Practice

Address
1919 Main St
Hope Hall
Melrose Park, IL 60160
Phone
(312) 810-4340
Organisation at this address
The Thresholds
Presence Behavioral Health
Volunteers Of America Of Illinois
Volunteers Of America Of Illinois
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-30

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