Kavanagh, William R

Kavanagh, William R is an individual health care provider with primary practice located at 120 S Marion St , Oak Park IL 60302-2809. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Kavanagh, William R can be contacted via phone (708) 383-7500.

Contact Information

Primary practice address
120 S Marion St Oak Park IL 60302-2809
Phone: (708) 383-7500
Fax: (708) 383-7780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 14446 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1194879171
LBN Legal business name Kavanagh, William R
Credentials LCSW, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 8th, 2007 - about 17 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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