Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972121234 Individual Practitioner Male Practitioner

Philip William Cannizzaro

Dentist - General Practice • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Philip Cannizzaro is a registered healthcare professional specializing in Dentist - General Practice in Chicago, IL. Practice services are available at 801 S PAULINA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

801 S Paulina St

Chicago, IL 606127210

Telephone 3129967514
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1200 Specialists

Practicing in Chicago, IL (5581 Statewide)

Telehealth Adoption Rate
0.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-07-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.032746

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1023430584

Doctor of Dental Surgery

Dr. Ronald Milnarik , DDS

Dentist - Endodontics

NPI 1043650658

Doctor of Dental Surgery

Dr. Sue Bin Park , DDS

Student in an Organized Health Care Education/Training Program

NPI 1427632140

Doctor of Dental Surgery

Dr. Charles Neach , DDS

Dentist - Endodontics

NPI 1629453378

Doctor of Dental Surgery

NPI 1912255910

Doctor of Dental Surgery, Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 13, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2020

Registered at 801 S PAULINA ST, CHICAGO, IL 606127210 (Tel: 3129967514)

📍
Updated Business Mailing Address July 13, 2020

Registered at 6N254 GLENDALE RD, MEDINAH, IL 601579729 (Tel: 6307121422)

👤
Provider Name / Credentials Updated July 13, 2020

Recorded as PHILIP CANNIZZARO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2020

Dentist (License #019.032746 in IL)

🟢
Initial NPI Registration & Enumeration July 13, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972121234
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2020
Last Update: July 13, 2020
Sole Proprietor: No

Mailing Address

6n254 Glendale Rd

Medinah, IL 601579729

Phone: 6307121422

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.