Cavanaugh, Jean Ann

Cavanaugh, Jean Ann is an individual health care provider with primary practice located at 2650 Ridge Ave Department Of Phys Med Suite 2204, Evanston IL 60201-1718. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Cavanaugh, Jean Ann can be contacted via phone (847) 570-2066.

Contact Information

Primary practice address
2650 Ridge Ave Department Of Phys Med Suite 2204 Evanston IL 60201-1718
Phone: (847) 570-2066
Fax: (847) 570-2901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X Illinois

Profile Details

NPI number 1164449138
LBN Legal business name Cavanaugh, Jean Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Nov 27th, 2007 - about 19 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 1164449138 NPPES
Illinois Other 1620385 BCBS PPO

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