Provider Demographics
NPI:1497749030
Name:CANNADY, PRESTON BALDWIN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:PRESTON
Middle Name:BALDWIN
Last Name:CANNADY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1937 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-6099
Mailing Address - Country:US
Mailing Address - Phone:847-625-9395
Mailing Address - Fax:
Practice Address - Street 1:3471 GREEN BAY RD
Practice Address - Street 2:THE CLINICS AT ROSALIND FRANKLIN UNIVERSITY
Practice Address - City:NORTH CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60064-3037
Practice Address - Country:US
Practice Address - Phone:847-473-4357
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease