CHARLES ANTHONY CAVALLO

SPRINGFIELD, IL
NPI1174733521
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: IL  036041159)
Additional Taxonomies207Q00000X Family Medicine
(Licence: NY  258002)
207Q00000X Family Medicine
(Licence: IL  036-041159)
207R00000X Internal Medicine
(Licence: IL  036041159)
208600000X Surgery
(Licence: NY  258002)
Enumeration Date2007-05-23
Last Update Date2020-06-24
Business Address
Dr. CHARLES ANTHONY CAVALLO MD
3132 OLD JACKSONVILLE RD STE 110
SPRINGFIELD, IL 62704-7401
Phone number: 217-588-2600
Mailing Address
Dr. CHARLES ANTHONY CAVALLO MD
PO BOX 3428
SPRINGFIELD, IL 62708-3428
Phone number: 800-577-5368