Individual
GREGORY T. PREVATT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O,T,S.C.
Contact information
Practice address
327 GUNDERSEN DR, SUITE A, CAROL STREAM, IL 60188-2402
(630) 665-9155
(630) 665-5557
Mailing address
327 GUNDERSEN DR, SUITE A, CAROL STREAM, IL 60188-2402
(630) 665-9155
(630) 665-5557
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/18/2005
Last updated
07/08/2007
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