Individual
DR. MICHAEL CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1790 NATIONS DR, SUITE 102, GURNEE, IL 60031-9164
(847) 662-4455
(847) 662-9940
Mailing address
1790 NATIONS DR, SUITE 102, GURNEE, IL 60031-9164
(847) 662-4455
(847) 662-9940
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-043738
IL
Other
Enumeration date
08/11/2005
Last updated
01/28/2013
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