Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Charles Anthony Cavallo, MD

Individual provider Surgery Physician · NPI 1174733521

Dr. Charles Anthony Cavallo, MD is a Surgery Physician in Springfield, Illinois. Licensed in Illinois and New York. Registered with an NPI since 2007.

Licensed in
IL, NY
In the registry since
2007
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3132 Old Jacksonville Rd Ste 110
Springfield, IL 62704-7401
Phone: (217) 588-2600
Fax: (217) 862-0904
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Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036041159 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 258002 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036-041159 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036041159 (IL)
Surgery Physician Taxonomy 208600000X · Licence 258002 (NY)

Record details

NPI number1174733521
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESJune 24, 2020
Certification dateJune 24, 2020
Mailing addressPo Box 3428, Springfield, IL 62708-3428

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