Individual
MR. JAMES MICHAEL KAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
404 N SEYMOUR AVE, MUNDELEIN, IL 60060-1835
(224) 475-0020
Mailing address
372 YORKSHIRE DR, MUNDELEIN, IL 60060-4512
(847) 648-2631
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-035432
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051-035432
PHARMACY LICENSE
IL
Enumeration date
04/02/2021
Last updated
04/02/2021
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