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NPI Code Detail

MEDICARE: CHRISTOPHER CHARLES CANTO DO

MEDICARE: CHRISTOPHER CHARLES CANTO DO
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
1207P00000XEmergency Medicine PhysicianOS012322PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12305014000OTHERPAINDEPENDENCE BC
24622394OTHERBLUE CROSS
31628977OTHERPAHIGHMARK BS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801857149
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER CHARLES CANTO DO
Provider Business Mailing Address
First Line : 555 W COURT ST
Second Line : SUITE 410
City : KANKAKEE
State : IL
Zip : 60901-3664
Country : US
Telephone Number : 888-828-3192
Fax Number : 509-529-9670
Provider Business Practice Location Address
First Line : 1423 CHICAGO RD
Second Line : ST. JAMES HOSPITAL
City : CHICAGO HEIGHTS
State : IL
Zip : 60411-3400
Country : US
Telephone Number : 815-937-2239
Fax Number : 815-937-2062
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2006
Last Update Date : 01/03/2008

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Directions to “ CHRISTOPHER CHARLES CANTO DO” Practice Location

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