Individual
DR. CARLOS A GARAVITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., P.T.A.
Contact information
Practice address
2223 OAK PARK AVE, BERWYN, IL 60402-4670
(708) 231-0012
Mailing address
2223 OAK PARK AVE, BERWYN, IL 60402-4670
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.012462
IL
225200000X
Physical Therapy Assistant
160.004156
IL
Other
Enumeration date
06/11/2008
Last updated
08/12/2016
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