Individual
DR. ANTOINETTE KAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
30 N MICHIGAN AVE, SUITE 1604, CHICAGO, IL 60602-3402
(312) 726-2914
Mailing address
30 N MICHIGAN AVE, SUITE 1604, CHICAGO, IL 60602-3402
(312) 726-2914
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
71005870
IL
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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