MEDICARE: ERIN M MCCANN M.D.

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	207R00000X	Internal Medicine Physician	125054156	IL
2	208000000X	Pediatrics Physician	125054156	IL

General Provider Information

NPI Number	:	1013173376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN M MCCANN M.D.

Provider Business Mailing Address
First Line	:	1658 N MILWAUKEE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-6905
Country	:	US
Telephone Number	:	773-278-7889
Fax Number	:	773-278-8180

Provider Business Practice Location Address
First Line	:	1658 N MILWAUKEE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-6905
Country	:	US
Telephone Number	:	773-278-7889
Fax Number	:	773-278-8180

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

Provider Enumeration Date	:	08/05/2008
Last Update Date	:	03/23/2021

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Directions to “ ERIN M MCCANN M.D.” Practice Location

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