Cynthia Marie McCann, R.N

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041250212 Issued in IL

Practice address

17225 Kimbark Ave.
South Holland, IL 60473-3579

Phone

(708) 715-2750

Fax

(708) 331-0796

NPI assigned

Oct 25, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1225338247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17225 KIMBARK AVE",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733579",
            "telephone_number": "708-715-2750",
            "fax_number": "708-331-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17225 KIMBARK AVE.",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733579",
            "telephone_number": "708-715-2750",
            "fax_number": "708-331-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "CYNTHIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "R.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041250212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mamajstransportationinc
• Manor Care of South Holland Il LLC
• Kathy Marsh
• Etta Martinez
• Terri Lynn Mayberry, FNP-BC
• McKinley School District 150
• Maxine McKinney-Garcia
• Brandis Olive McMillian, BEHAVIOR TECHNICIAN
• Medco Physicians Unlimited Inc
• Derek A Melby, DO

• Registered Nurse in South Holland, IL
• Providers in South Holland, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.