JOSEPH CANZONA DDS MD LTD
NPI 1104099324
Clinic/Center - Medical Specialty in Evanston, IL

Q: What is Joseph Canzona Dds MD Ltd's NPI number?

The NPI number for Joseph Canzona Dds MD Ltd is 1104099324. It was assigned to this organization in the NPPES registry on April 9, 2008.

Q: What is Joseph Canzona Dds MD Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since April 09, 2008

2500 RIDGE AVENUE, SUITE 302, EVANSTON, IL 60201(847) 328-8899(847) 328-3545 Get Directions Write a Review

NPPES record last updated: May 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Joseph Canzona Dds Md Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH CANZONA DDS MD LTD (NPI 1104099324) is a healthcare organization registered as a medical specialty in Evanston, Illinois and active in the NPI registry since April 2008. The organization lists Joseph E Canzona, Owner, as its authorized official.

NPPES Registry Identity

NPI1104099324

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameJOSEPH CANZONA DDS MD LTD

Location Address2500 RIDGE AVENUE, SUITE 302Evanston, IL 60201-2477

Mailing Address2500 Ridge Avenue, Suite 302Evanston, IL 60201-2477 · (847) 328-8899 · Fax (847) 328-3545

Phone(847) 328-8899

Fax(847) 328-3545

Organization SubpartNo

Authorized OfficialJoseph E CanzonaOwner · (847) 328-8899

Enumeration DateApril 9, 2008

Last NPPES UpdateMay 22, 2012

✔ NPI 1104099324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in IL · 36064858

Definition

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).

2500 RIDGE AVENUE, Evanston, IL 60201

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINC45700IL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Canzona Dds MD Ltd's NPI number?

The NPI number for Joseph Canzona Dds MD Ltd is 1104099324. It was assigned to this organization in the NPPES registry on April 9, 2008.

Where is Joseph Canzona Dds MD Ltd located?

Joseph Canzona Dds MD Ltd is located at 2500 Ridge Avenue Suite 302, Evanston, IL 60201. The listed phone number is (847) 328-8899.

What is Joseph Canzona Dds MD Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Joseph Canzona Dds MD Ltd was last updated on May 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.