Individual
COLLEN GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14855 WEST AVE, ORLAND PARK, IL 60462-3144
(708) 364-4252
Mailing address
15007 HALE DR, ORLAND PARK, IL 60462-3129
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146004236
IL
Other
Enumeration date
01/26/2018
Last updated
03/05/2020
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