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Brian A Canavan, MD
Specialist in Chicago, Illinois
NPI 1851384093

Brian A Canavan is a Specialist based in Chicago, IL. Brian A Canavan practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Brian A Canavan is 1851384093 and holds a License No. 036.118840 (Illinois).

The current practice location address for Brian A Canavan is 2160 S First Avenue, Chicago, IL and can be reached out via phone at 617-838-3852.

Location: 2160 S First Avenue, Chicago, IL, 60601-7910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851384093
Provider Name
Brian A Canavan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2160 S First Avenue, Chicago, IL, 60601-7910
Phone Number
617-838-3852
Fax Number
Provider Enumeration Date
08/23/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2160 S First Avenue
City
Chicago
State
Illinois
Zip
60153
Phone Number
617-838-3852
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S First Avenue
City
Chicago
State
Illinois
Zip
60153
Phone Number
617-838-3852
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036.118840 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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