Organization · Type 2 NPI
Joseph Canzona DDS MD Ltd
Medical Specialty Clinic/Center · Evanston, IL
Practice location
2500 Ridge Avenue, Suite 302
Evanston, IL 60201-2477
Fax (847) 328-3545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 36064858 (IL) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Other medical specialty clinic/center providers in Evanston
About NPI 1104099324
Joseph Canzona DDS MD Ltd's National Provider Identifier is 1104099324, issued on Apr 9, 2008. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Evanston, IL. The record was last updated on May 22, 2012.