DR. Charles Anthony Cavallo, MD

NPI #1174733521 in Springfield, Illinois

Provider Information

NPI Number: 1174733521
Entity Type: Individual
Name: DR. Charles Anthony Cavallo, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: May 23, 2007
Last Updated: Jun 24, 2020

Practice Location

Address: 3132 OLD JACKSONVILLE RD STE 110
City: Springfield
State: Illinois
ZIP Code: 62704-7401
Phone: (217) 588-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X

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