Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES ANTHONY CAVALLO, MD
ActiveDR. CHARLES ANTHONY CAVALLO, MD is a General Surgery healthcare provider located in SPRINGFIELD, Illinois. NPI 1174733521 is currently active in the NPPES registry. Verify at CMS.
General Surgery · SPRINGFIELD, IL
Registration Details
- NPI Number
- 1174733521
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2007 (19.245657255837 yrs)
- Last Updated
- Jun 24, 2020
- Licenses
-
036041159 (IL)258002 (NY)036-041159 (IL)036041159 (IL)258002 (NY)
Practice Information
- Address
-
3132 OLD JACKSONVILLE RD STE 110SPRINGFIELD, IL, 627047401Browse IL providers · Browse ZIP 62704
- Phone
- 2175882600
- Fax
- 2178620904
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
- Additional Specialty
- Internal Medicine
- Additional Specialty
- General Surgery
Other General Surgery Providers in SPRINGFIELD, IL
| Name | Credential | NPI |
|---|---|---|
| MR. JULIO CESAR VIJIL SR. | MD | 1467441550 |
| SAJIDA AHAD | M.D. | 1326024837 |
| DR. SAMUEL J. FEINBERG | M.D. | 1952318222 |
| JOHN D. MELLINGER | MD | 1275642233 |
| ORLANDO J. ICAZA | M.D. | 1669579991 |
| MAX D. HAMMER | M.D. | 1477650794 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.