Individual
MRS. ANITA T AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1170 E BELVIDERE RD, #106, GRAYSLAKE, IL 60030-2061
(847) 548-7337
(847) 548-9909
Mailing address
1170 E BELVIDERE RD, #106, GRAYSLAKE, IL 60030-2061
(847) 548-7337
(847) 548-9909
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
IL
Other
Enumeration date
09/06/2005
Last updated
07/08/2007
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