Organization
SOUTHWEST HEAD & NECK SURGICAL ASSOC SC
Active
Other names
Joseph P Gavron MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH P GAVRON MD (OWNER)
(708) 460-6663
Entity
Organization
Contact information
Practice address
1000 RAVINIA PL, ORLAND PARK, IL 60462-3764
(708) 460-6663
(708) 460-6693
Mailing address
1000 RAVINIA PL, ORLAND PARK, IL 60462-3764
(708) 460-6663
(708) 460-6693
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036054754
IL
Other
Enumeration date
02/15/2008
Last updated
05/14/2012
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