Individual
KAITLIN CAVANAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
880 W CENTRAL RD STE 5000, ARLINGTON HEIGHTS, IL 60005-2355
(847) 618-3800
(847) 618-3809
Mailing address
880 W CENTRAL RD STE 5000, ARLINGTON HEIGHTS, IL 60005-2355
(847) 618-3800
(847) 618-3809
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085.008261
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085.008261
STATE LICENSE
IL
Enumeration date
04/23/2020
Last updated
10/17/2022
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