Search › Illinois › 208600000X
Charles Cavallo, MD
NPI 1174733521 · on the registry since 2007
Practice
- Address
- 3132 Old Jacksonville Rd Ste 110
Springfield, IL 62704 - Phone
- (217) 588-2600
- Fax
- (217) 862-0904
- Organisation at this address
- Walgreen Co.
Alternative Care Services
Memorial Expresscare, Llc
Memorial Physician Services
Memorial Physician ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 98
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Also registered as
- 207Q00000X
207Q00000X
207R00000X
208600000X - Licence states on file
- IL, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-06-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois