Individual
FRANKLIN ANDREW CAVENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 567-9491
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 567-9491
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125074808
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2019
Last updated
12/05/2019
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