Individual
DR. KENNETH J KAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 E COUNTYLINE RD, SANDWICH, IL 60548-2178
(815) 786-2722
(815) 786-6840
Mailing address
1 E COUNTYLINE RD, SANDWICH, IL 60548-2178
(815) 786-2722
(815) 786-6840
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036077591
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036077591
—
IL
01
—
1921614
BC/BS
IL
Enumeration date
08/30/2005
Last updated
03/02/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us