Cavallo, Charles Anthony

Cavallo, Charles Anthony is an individual health care provider with primary practice located at 3132 Old Jacksonville Rd Ste 110 , Springfield IL 62704-7401. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Cavallo, Charles Anthony can be contacted via phone (217) 588-2600.

Contact Information

Primary practice address
3132 Old Jacksonville Rd Ste 110 Springfield IL 62704-7401
Phone: (217) 588-2600
Fax: (217) 862-0904
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036041159 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 258002 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-041159 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036041159 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 258002 New York

Profile Details

NPI number 1174733521
LBN Legal business name Cavallo, Charles Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jun 24th, 2020 - about 4 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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