Individual
MICHAEL SHAWN MCCAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3711 N SHERIDAN RD, PEORIA, IL 61614-7132
(309) 688-2271
(309) 688-0920
Mailing address
3711 N SHERIDAN RD, PEORIA, IL 61614-7132
(309) 688-2271
(309) 688-0920
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD8321
RAILRAOD
IL
Enumeration date
07/04/2006
Last updated
07/08/2007
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