Individual
CAVIN GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 S CALIFORNIA AVE, CHICAGO, IL 60608-1729
(773) 257-6464
Mailing address
1500 S CALIFORNIA AVE, CHICAGO, IL 60608-1729
(773) 257-6464
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036124962
IL
Other
Enumeration date
09/29/2008
Last updated
01/14/2015
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