Individual
CHRISTINE KAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 BIESTERFIELD RD STE G01, ELK GROVE VILLAGE, IL 60007-3372
(847) 981-3680
Mailing address
2097 VERMONT ST, ROLLING MEADOWS, IL 60008-2010
(630) 709-8431
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209026507
IL
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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