Individual
GAVIN BRENT LONGWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPNP-PC
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4000
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-5100
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
AP128545
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
209.026746
IL
Other
Enumeration date
07/29/2015
Last updated
05/16/2025
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