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Individual

CATHLEEN M MCGOVERN

Active
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Individual

CATHLEEN M MCGOVERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02001750A
IN
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
02001750A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036095665
IL
05
200140010
IN
01
90001358
BCBSIL
IL
Enumeration date
08/30/2005
Last updated
05/19/2025
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