Individual
KATHERINE CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-1000
Mailing address
1207 CROSS CREEK RD, VALPARAISO, IN 46383-2039
(219) 241-1587
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209-028179
IL
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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