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Search › Illinois › 101YA0400X

Dedra Cannon

NPI 1992384176 · on the registry since 2021

Practice

Address
1909 Cheker Sq
East Hazel Crest, IL 60429
Phone
(708) 647-3333
Organisation at this address
South Suburban Council On Alcoholism And Substance Abuse
The South Suburban Council On Alcoholism And Substance Abuse
The South Suburban Council On Alcoholism And Substance Abuse
The South Suburban Council On Alcoholism And Substance Abuse
Inferred from a shared address, not stated in the registry.
Clinicians at this address
100

Additional practice sites

  • 1909 Cheker Sq, East Hazel Crest, IL

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Female
Record last updated
2021-04-06

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