MEDICARE: MS. MARY CANNEK M.ED, ED.S

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	103TS0200X	School Psychologist	1827972	IL

General Provider Information

NPI Number	:	1922579283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARY CANNEK M.ED, ED.S

Provider Business Mailing Address
First Line	:	1860 63RD ST
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60516-2471
Country	:	US
Telephone Number	:	630-719-5800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1860 63RD ST
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60516-2471
Country	:	US
Telephone Number	:	630-719-5800
Fax Number	:

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

Provider Enumeration Date	:	12/16/2018
Last Update Date	:	12/16/2018

Similar Medicare Providers

1972637288 — DOWNERS GROVE GRDE SCH DIST 58
Practice Location Address:

1860 63RD ST
DOWNERS GROVE, IL
60516-2471

Practice Phone: 630-719-5800
Practice Fax: 630-719-9857

1396739330 — MS. KIM PURCELL-REID PA C
Practice Location Address:

302 S MAIN ST
CHINA GROVE, NC
28023-2471

Practice Phone: 704-857-8769
Practice Fax: 704-857-8779

1386638351 — MR. ORRIN ABRAHAM WALKER MD
Practice Location Address:

302 S MAIN ST
CHINA GROVE, NC
28023-2471

Practice Phone: 704-857-8769
Practice Fax: 704-857-8779

1609078955 — DR. RICKY TIN D.D.S.
Practice Location Address:

2471 ELK GROVE BLVD , SUITE 190
ELK GROVE, CA
95758-7162

Practice Phone: 916-691-6800
Practice Fax:

1689874372 — MRS. HEATHER T ANDERSON N.P.
Practice Location Address:

302 S MAIN ST
CHINA GROVE, NC
28023-2471

Practice Phone: 704-857-8769
Practice Fax: 704-857-8779

1619279247 — MAIN STREET FAMILY PRACTICE OF CHINA GROVE PC
Practice Location Address:

302 S MAIN ST
CHINA GROVE, NC
28023-2471

Practice Phone: 704-857-8769
Practice Fax: 704-857-8779

Directions to “ MS. MARY CANNEK M.ED, ED.S” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.