Organization
GAVIN SCOLIOSIS AND SPINE CENTER, LLC
Active
Other names
Gavin Scoliosis and Spine Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS GAVIN CO, LO (PRESIDENT)
(630) 573-7777
Entity
Organization
Contact information
Practice address
1010 JORIE BLVD STE 24, OAK BROOK, IL 60523-4450
(630) 573-4424
(620) 573-4424
Mailing address
1010 JORIE BLVD STE 24, OAK BROOK, IL 60523-4450
(630) 573-4424
(620) 573-4424
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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