Individual provider · Type 1 NPI
Brian A. Canavan, MD
Specialist · Chicago, IL
NPI number
1851384093
Active
Practice location
2160 S First Avenue, Loyola University Medical Center
Chicago, IL 60153
Mailing address
225 N Columbus Dr, Apt 2403
Chicago, IL 60601-7910
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 036.118840 (IL) |
Specialist: 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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About NPI 1851384093
Brian A. Canavan, MD's National Provider Identifier is 1851384093, issued on Aug 23, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chicago, IL. The record was last updated on Oct 7, 2010.