Cavanagh, Kaitlin

Cavanagh, Kaitlin is an sole proprietor health care provider with primary practice located at 880 W Central Rd Ste 5000 , Arlington Heights IL 60005-2355. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Cavanagh, Kaitlin can be contacted via phone (847) 618-3800.

Contact Information

Primary practice address
880 W Central Rd Ste 5000 Arlington Heights IL 60005-2355
Fax: (847) 618-3809
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085.008261 Illinois

Profile Details

NPI number 1144840703
LBN Legal business name Cavanagh, Kaitlin
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2020
Last updated Oct 17th, 2022 - about 2 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 1144840703 NPPES
Illinois Other 085.008261 STATE LICENSE

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