MEDICARE: DR. MICHAEL W. MCCANNA PH.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	103TC0700X	Clinical Psychologist		IL

General Provider Information

NPI Number	:	1184701484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL W. MCCANNA PH.D.

Provider Business Mailing Address
First Line	:	778 W FRONTAGE RD
Second Line	:	SUITE 123
City	:	NORTHFIELD
State	:	IL
Zip	:	60093-1209
Country	:	US
Telephone Number	:	847-501-3440
Fax Number	:	847-446-7185

Provider Business Practice Location Address
First Line	:	778 W FRONTAGE RD
Second Line	:	SUITE 123
City	:	NORTHFIELD
State	:	IL
Zip	:	60093-1209
Country	:	US
Telephone Number	:	847-501-3440
Fax Number	:	847-446-7185

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1144213323 — DR. ELIZABETH F. FELDMAN PH.D.
Practice Location Address:

778 W FRONTAGE RD , SUITE 115
NORTHFIELD, IL
60093-1209

Practice Phone: 847-501-3620
Practice Fax:

1114001690 — VICTORIA V LAVIGNE PHD
Practice Location Address:

778 W FRONTAGE RD , SUITE 123
NORTHFIELD, IL
60093-1209

Practice Phone: 847-446-7184
Practice Fax: 847-446-7185

1841330909 — DR. NATHAN NORMAN BIRNBERG M.D.
Practice Location Address:

778 W FRONTAGE RD , SUITE # 111
NORTHFIELD, IL
60093-1209

Practice Phone: 312-644-5224
Practice Fax:

1700910551 — KAREN FRETZIN LCPC, CADC
Practice Location Address:

778 W FRONTAGE RD , SUITE 113
NORTHFIELD, IL
60093-1209

Practice Phone: 847-784-6953
Practice Fax: 847-784-8068

1235357849 — BRYN W. JESSUP, PHD, PC
Practice Location Address:

778 W FRONTAGE RD , SUITE 114
NORTHFIELD, IL
60093-1209

Practice Phone: 847-501-5897
Practice Fax: 847-501-5896

1841409430 — DR. ANN MCCARTNEY PH.D.
Practice Location Address:

778 W FRONTAGE RD , SUITE 114
NORTHFIELD, IL
60093-1209

Practice Phone: 847-501-5875
Practice Fax: 847-501-5896

Directions to “ DR. MICHAEL W. MCCANNA PH.D.” 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.