| Dr Kenneth J Kavanaugh, DO | |
|
1 E Countyline Rd, Sandwich, IL 60548-2178 | |
| (815) 786-2722 | |
| (815) 786-6840 |
| Full Name | Dr Kenneth J Kavanaugh |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1 E Countyline Rd, Sandwich, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104819697 | NPI | - | NPPES |
| 036077591 | Medicaid | IL | |
| 1921614 | Other | IL | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036077591 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth J Kavanaugh, DO 1 E Countyline Rd, Sandwich, IL 60548-2178 Ph: (815) 786-2722 | Dr Kenneth J Kavanaugh, DO 1 E Countyline Rd, Sandwich, IL 60548-2178 Ph: (815) 786-2722 |
Dr. Martin Paul Brauweiler, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1310 N. Main St Ste 101, Sandwich, IL 60548 Phone: 815-786-2173 Fax: 815-786-2153 | |
Dr. Adele Luci Danny, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 142 Indian Springs Dr, Medicine Shoppe Pharmacy Corner Care Clinic, Sandwich, IL 60548 Phone: 815-786-8696 | |
Dr. Maria Dana Sutkus, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 E Countyline Rd, Sandwich, IL 60548 Phone: 815-786-2722 Fax: 815-786-6840 | |
Dr. Eric J Janota, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 E Countyline Rd, Sandwich, IL 60548 Phone: 815-786-2722 Fax: 815-786-6840 | |
Erik David Englehart, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1310 N Main St Ste 200, Sandwich, IL 60548 Phone: 815-786-7150 Fax: 815-786-3785 | |
Dr. Daniel D Gauthier, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 E Countyline Rd, Sandwich, IL 60548 Phone: 815-786-2722 Fax: 815-786-6840 |