Individual
ELIZABETH MARIE GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3000 DUNDEE RD, NORTHBROOK, IL 60062-2422
(847) 421-8939
Mailing address
1137 CHURCH ST, GLENVIEW, IL 60025-2928
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198001258
IL
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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