Individual
UMA DEVI GAVANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7600 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1001
(708) 636-9611
(708) 636-6577
Mailing address
7600 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1001
(708) 636-9611
(708) 636-6577
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036051637
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21638113
BCBS
—
Enumeration date
11/30/2005
Last updated
12/10/2021
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