MEDICARE: JOHN FRANK CANEDY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist

General Provider Information

NPI Number	:	1104124742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN FRANK CANEDY

Provider Business Mailing Address
First Line	:	2700 W HIGGINS RD
Second Line	:	STE 120
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60169-2006
Country	:	US
Telephone Number	:	847-843-1900
Fax Number	:	847-843-1901

Provider Business Practice Location Address
First Line	:	335 E SONTERRA BLVD
Second Line	:	STE 120
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4068
Country	:	US
Telephone Number	:	210-494-1074
Fax Number	:	210-494-1031

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2011
Last Update Date	:	03/07/2011

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