JAMES L CAVANAUGH JR MD & STEPHANIE VONAMMON CAVANAUGH MD SC (NPI# 1073523189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073523189 |
| Entity Type | Organization |
| Organization Name | JAMES L CAVANAUGH JR MD & STEPHANIE VONAMMON CAVANAUGH MD SC |
| Practice Address |
300 S Ashland Ave 207 Chicago IL 60607-2701 |
| Practice Telephone | 3128291463 |
| Mailing Telephone | 3128291463 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2012-09-25 |
| Authorized Official Name | JAMES CAVANAUGH JR. (OWNER) |
| Authorized Official Telephone | 3128291463 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
036043121 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS/SHIELD | 21603735 | 01 |
| IL | BLUE CROSS/SHIELD | 21603687 | 01 |
| Street Address |
300 S ASHLAND AVE 207 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60607-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902823347 | Marsha Elaine Gorens | Obstetrics & Gynecology | 300 S Ashland Ave, Ste 502, Chicago, IL 60607-2712 | 2006-07-15 |
| 1629088745 | James L Cavanaugh Jr. | Psychiatry & Neurology | 300 S Ashland Ave, 207, Chicago, IL 60607-2701 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349237 | Portia Dowd | Registered Nurse | 140 N Ashland, Chicago, IL 60607 | 2019-10-30 |
| 1114577210 | Joseph Matthew Thiel | Emergency Medical Technician, Intermediate | 558 West De Koven, Chicago, IL 60607 | 2019-09-19 |
| 1215585757 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1034 West Lake St, Chicago, IL 60607 | 2019-08-28 |
| 1003462821 | Michael Marek Maka | Psychologist | 820 W. Jackson Blvd, Suite 515, Chicago, IL 60607 | 2019-08-16 |
| 1558922344 | Kellie Meyer | Speech-Language Pathologist | Eyas Landing West Loop, 1409 W. Carroll Ave, Chicago, IL 60607 | 2019-06-24 |
| 1811460108 | Corinna House | Social Worker | 932 W Washington, Chicago, IL 60607 | 2019-01-09 |
| 1962979518 | Louise Taussig Bush | Counselor | 1142 West Madison Street, Suite 406, Chicago, IL 60607 | 2018-10-31 |
| 1568941318 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1051 W Randolph, Chicago, IL 60607 | 2018-08-13 |
| 1851883425 | Alefiyah Zulfiqar Pishori | Psychologist | 1200 West Harrison St, Chicago, IL 60607 | 2018-05-30 |
| 1679062954 | Elizabeth R Rolston | Physical Therapist | 24 S Morgan St Ste 100, Chicago, IL 60607 | 2018-05-02 |
| Find all providers in zip 60607 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245586593 | Mathew Shaji Markos | Psychiatry & Neurology | 2650 S California Ave, Suite 1001, Chicago, IL 60608-5146 | 2012-07-24 |
| 1144522574 | Jonathan Richard Kelly | Psychiatry & Neurology | 600 South Paulina Street, Chicago, IL 60612 | 2010-11-17 |
| 1083935134 | Sundeep Singh Randhawa | Psychiatry & Neurology | 1431 N Claremont Ave Fl 2, Chicago, IL 60622-1702 | 2010-06-11 |
| 1205013299 | Richard A Crane | Psychiatry & Neurology | 3750 N Lake Shore Dr, Chicago, IL 60613-4238 | 2008-01-22 |
| 1831237502 | Linda F Gruenberg | Psychiatry & Neurology | 307 N. Michigan Ave, Suite 922, Chicago, IL 60601 | 2007-02-02 |
| 1053408617 | Helen Morrison | Psychiatry & Neurology | 3000 W Logan Blvd, Chicago, IL 60647-1708 | 2006-10-06 |
| 1417345463 | Linda F Gruenberg Do Sc | Psychiatry & Neurology | 307 N Michigan Ave, Suite 922, Chicago, IL 60601-5311 | 2014-12-29 |
| 1780971796 | Roni Lynn Seltzberg | Psychiatry & Neurology | 216 S Jefferson St, Suite 101, Chicago, IL 60661-5608 | 2011-06-29 |
| 1659661650 | Yaser A Haq | Psychiatry & Neurology | 1969 W Ogden Ave, Chicago, IL 60612-3765 | 2011-04-11 |
| 1821209982 | Karen S. Wiviott | Psychiatry & Neurology | 333 N Michigan Ave, Suite 1114, Chicago, IL 60601-3901 | 2007-05-24 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on JAMES L CAVANAUGH JR MD & STEPHANIE VONAMMON CAVANAUGH MD SC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.