James L Cavanaugh Jr MD & Stephanie Vonammon Cavanaugh MD SC

Primary specialty

Forensic Psychiatry PhysicianTaxonomy code 2084F0202X

License

036043121 Issued in IL

Legal business name

JAMES L CAVANAUGH JR MD & STEPHANIE VONAMMON CAVANAUGH MD SC

Practice address

300 S Ashland Ave
207
Chicago, IL 60607-2701

Phone

(312) 829-1463

NPI assigned

Aug 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Cavanaugh Jr., MD

Title

Owner

Phone

(312) 829-1463

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Winston Carrington, M.D.

  • Forensic Psychiatry Physician
  • Chicago, IL
  • NPI 1942323654
  NPD (past)
• Nancy Christine Fowler, APRN, BC, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
  • NPI 1760688824
  NPD (past)
• Thaddeus John Garlewski, PH.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1083832109
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1073523189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S ASHLAND AVE",
            "address_2": "207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072701",
            "telephone_number": "312-829-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S ASHLAND AVE",
            "address_2": "207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072701",
            "telephone_number": "312-829-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES L CAVANAUGH JR MD & STEPHANIE VONAMMON CAVANAUGH MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "CAVANAUGH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-829-1463",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "IL",
            "license": "036043121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD",
            "identifier": "21603687",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD",
            "identifier": "21603735",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Grabowski P. C.
• James Gremo OD
• James Hayes LCSW Inc.
• James Hayes LCSW Inc.
• Annalise Christine James Hussain, M.D.
• James L Orrington DDS,PC
• James L. Orrington DMD,LTD
• James Lavell D.P.M., LTD.
• James M Goril DDS LTD
• James Neria, PLLC

• Forensic Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Forensic Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.