Individual
BENNETT H MCCABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 878-8200
(773) 293-8804
Mailing address
2740 W FOSTER AVE, STE 310, CHICAGO, IL 60625-3500
(773) 878-8200
(773) 293-8804
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036.093019
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
113445
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
248717837
—
MO
05
—
2487451401
—
KS
Enumeration date
09/27/2005
Last updated
03/06/2017
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