Individual
DR. KEVIN PATRICK CAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
755 N WELLS, SUITE 201, CHICAGO, IL 60654
(312) 280-6747
Mailing address
755 N WELLS, SUITE 201, CHICAGO, IL 60654
(312) 280-6747
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036140256
IL
207R00000X
Internal Medicine Physician
125.057829
IL
Other
Enumeration date
07/30/2010
Last updated
01/02/2018
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