Michael Cavanaugh, M.D.

Specialist · Gurnee, IL

Individual Active NPI

NPI number 1407858376

Practice location

1790 Nations Dr
Suite 102
Gurnee, IL 60031-9164
Phone
(847) 662-4455
Fax
(847) 662-9940

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NPI record

NPI
1407858376
Entity type
Individual (Type 1)
Enumeration date
August 11, 2005
Last updated
January 28, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 036-043738 IL

About Dr. Cavanaugh

Michael Cavanaugh, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 1790 Nations Dr, Suite 102, Gurnee, IL 60031-9164. The NPI number 1407858376 was assigned on August 11, 2005 and the record was last updated on January 28, 2013.

Dr. Cavanaugh lists a license in the registry: #036-043738 (IL) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Cavanaugh, M.D.?

The NPI number is 1407858376.

What is the phone number of Dr. Cavanaugh?

The phone number listed for the practice location is (847) 662-4455.

Where is Dr. Cavanaugh located?

1790 Nations Dr, Suite 102, Gurnee, IL 60031-9164.

What is the taxonomy code for Dr. Cavanaugh?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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