Individual
MICHAEL V GAVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7020 W 79TH ST, BRIDGEVIEW, IL 60455-4030
(708) 599-8200
Mailing address
2368 PAYSPHERE CIR, CHICAGO, IL 60674-0023
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036117192
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036117192
STATE LICENSE
IL
Enumeration date
08/22/2007
Last updated
05/19/2022
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