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Individual
MICHAEL CHARLES CAUGHRON
Active
Individual
MICHAEL CHARLES CAUGHRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036070040
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036070040
—
IL
01
—
1912186024
GROUP NPI
IL
01
—
216024
GROUP PTAN
IL
Enumeration date
08/31/2006
Last updated
08/20/2020
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