NPI 1407858376
Michael Cavanaugh, MD
Practice location
- Address
- 1790 Nations Dr Suite 102, Gurnee, IL 60031-9164
- Phone
- (847) 662-4455
- Fax
- (847) 662-9940
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1407858376
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Aug 2005
- Record last updated
- 28 Jan 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.