Individual
JUSTIN RYAN GAVINO ANDRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1007 CHURCH ST STE 100, EVANSTON, IL 60201-5910
(847) 475-4555
(847) 866-6035
Mailing address
1007 CHURCH ST STE 100, EVANSTON, IL 60201-5910
(847) 475-4555
(847) 475-0154
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036177051
IL
Other
Enumeration date
05/30/2021
Last updated
02/18/2026
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