Jonathan Cavanaugh
NPI #1629374202 in Blue Island, Illinois
Provider Information
- NPI Number
- 1629374202
- Entity Type
- Individual
- Name
- Jonathan Cavanaugh
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jan 31, 2011
- Last Updated
- Dec 23, 2014
Practice Location
- Address
- 12145 WESTERN AVE
- City
- Blue Island
- State
- Illinois
- ZIP Code
- 60406-1387
- Phone
- (773) 432-6236
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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