Whalio Doctors

NPI 1407858376

Michael Cavanaugh, MD

Practitioner Specialist Gurnee, IL

Practice location

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

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 036-043738 (IL)

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.