IndividualActive
Lisa Cannon, M.D.
NPI 1841450640 · Colon & Rectal Surgery Physician · Chicago, IL
Provider details
- NPI number
- 1841450640
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 036.132206 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
5841 S Maryland Ave
Mc 5094
Chicago, IL 60637-1447
Phone: (773) 834-3631
Approximate (ZIP-level) locationGet directions
Mailing address
2300 N Lincoln Park W
Chicago, IL 60614-3456
Registry dates
- Enumerated
- 2008-06-15
- Last updated
- 2023-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.