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DR. MICHAEL CAVANAUGH M.D.
NPI 1407858376
Specialist in Gurnee, IL

Active since August 11, 2005
1790 NATIONS DR, SUITE 102, GURNEE, IL 60031(847) 662-4455(847) 662-9940 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael Cavanaugh M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL CAVANAUGH M.D. (NPI 1407858376) is an individual specialist in Gurnee, Illinois, licensed in Illinois (036-043738) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1407858376
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. MICHAEL CAVANAUGHCredential: M.D.
Location Address1790 NATIONS DR, SUITE 102Gurnee, IL 60031-9164
Mailing Address1790 Nations Dr, Suite 102Gurnee, IL 60031-9164 · (847) 662-4455 · Fax (847) 662-9940
Phone(847) 662-4455
Fax(847) 662-9940
Sole ProprietorNo
Enumeration DateAugust 11, 2005
Last NPPES UpdateJanuary 28, 2013
✔ NPI 1407858376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 036-043738
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1790 NATIONS DR, Gurnee, IL 60031
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Other Identifiers 2

Medicare UPINC37465IL
Medicare ID-Type Unspecified300110IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIGHTSTAR HEALTHCARE
Home Health
1790 NATIONS DR, #103
GURNEE, IL 60031
Lake County (847) 782-8282
PARTHIV SHAH M.D.
Specialist
1790 NATIONS DR, SUITE 102
GURNEE, IL 60031
Lake County (847) 662-4455
KERRY STOKES QMHP
Counselor (Mental Health)
1790 NATIONS DR
GURNEE, IL 60031
Lake County (847) 204-4728
REBECCA ELIZABETH KHOLODOVSKY
Counselor
1790 NATIONS DR
GURNEE, IL 60031
Lake County (847) 691-5244
NORTHSHORE METROPOLITAN DENTAL ASSOCIATES INC
Dentist (General Practice)
1790 NATIONS DR, SUITE 212
GURNEE, IL 60031
Lake County (847) 336-4880
EYE CARE 4 U, S.C.
Optometrist
1790 NATIONS DR, SUITE 214
GURNEE, IL 60031
Lake County (847) 360-9317
MOLLY MOSIO LMFT
Marriage & Family Therapist
1790 NATIONS DR
GURNEE, IL 60031
Lake County (847) 913-0393
JANE F LUECKING MD
Family Medicine
1790 NATIONS DR, SUITE 106
GURNEE, IL 60031
Lake County (847) 244-9740

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Cavanaugh's NPI number?

The NPI number for Michael Cavanaugh is 1407858376. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Michael Cavanaugh located?

Michael Cavanaugh practices at 1790 Nations Dr Suite 102, Gurnee, IL 60031. The listed phone number is (847) 662-4455.

What is Michael Cavanaugh's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Michael Cavanaugh was last updated on January 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.