Individual
MR. ERWIN T. CABACUNGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1324 N SHERIDAN RD, WAUKEGAN, IL 60085-2161
(847) 360-4264
(847) 360-4261
Mailing address
1324 N SHERIDAN RD, WAUKEGAN, IL 60085-2161
(847) 360-4264
(847) 360-4261
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
32715
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31862000
—
WI
Enumeration date
07/23/2006
Last updated
03/01/2024
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