Cavanaugh, Michael

Cavanaugh, Michael is an individual health care provider with primary practice located at 1790 Nations Dr Suite 102, Gurnee IL 60031-9164. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Cavanaugh, Michael can be contacted via phone (847) 662-4455.

Contact Information

Primary practice address
1790 Nations Dr Suite 102 Gurnee IL 60031-9164
Fax: (847) 662-9940
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036-043738 Illinois

Profile Details

NPI number 1407858376
LBN Legal business name Cavanaugh, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Jan 28th, 2013 - 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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