Cavanaugh, James L

Cavanaugh, James L is an individual health care provider with primary practice located at 300 S Ashland Ave 207, Chicago IL 60607-2701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Forensic Psychiatry, which is considered as his primary health care specialty. Cavanaugh, James L can be contacted via phone (312) 829-1463.

Contact Information

Primary practice address
300 S Ashland Ave 207 Chicago IL 60607-2701
Phone: (312) 829-1463
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 036043121 Illinois

Profile Details

NPI number 1629088745
LBN Legal business name Cavanaugh, James L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Sep 25th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629088745 NPPES
Illinois MEDICAID 036043121
Illinois Other 21603687

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