VALERIE M. MCCANNON

ROCKFORD, IL
NPI1386022168
Former NameVALERIE M. DAUTERMANN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085-005571)
Enumeration Date2015-05-12
Last Update Date2023-09-08
Business Address
VALERIE M. MCCANNON PA-C
324 ROXBURY RD
ROCKFORD, IL 61107-5090
Phone number: 815-398-9491
Mailing Address
VALERIE M. MCCANNON PA-C
PO BOX 735263
CHICAGO, IL 60673-5263
Phone number: