DEDRA DEA CANNON
NPI 1992384176
Counselor - Addiction (Substance Use Disorder) in East Hazel Crest, IL
About Dedra Dea Cannon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEDRA DEA CANNON (NPI 1992384176) is an individual addiction (substance use disorder) provider in East Hazel Crest, Illinois and active in the NPI registry since April 2021. She maintains a secondary practice location in East Hazel Crest.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EAST HAZEL CREST, IL 60429
EAST HAZEL CREST, IL 60429
EAST HAZEL CREST, IL 60429
EAST HAZEL CREST, IL 60429
EAST HAZEL CREST, IL 60429
EAST HAZEL CREST, IL 60429
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 Dedra Cannon's NPI number?
The NPI number for Dedra Cannon is 1992384176. It was assigned to this individual provider in the NPPES registry on April 6, 2021.
Where is Dedra Cannon located?
Dedra Cannon practices at 1909 Cheker Sq, East Hazel Crest, IL 60429. The listed phone number is (708) 647-3333.
What is Dedra Cannon's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
When was this NPI record last updated?
The NPPES record for Dedra Cannon was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dedra Dea Cannon · NPI 1992384176
Addiction (Substance Use Disorder) provider in East Hazel Crest, Illinois. Individual provider, active in the CMS NPPES registry since April 6, 2021.
## Identity
- **NPI:** 1992384176 (Entity type: Individual)
- **Enumerated:** April 6, 2021
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **Sole proprietor:** No
## Practice location
- **Address:** 1909 CHEKER SQ, East Hazel Crest, IL 60429-1442
- **Phone:** (708) 647-3333
## Record status
- **NPPES last updated:** April 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1992384176) · Data from the CMS NPPES public registry.