Organization
WOODSTOCK MEDICAL & SURGICAL CENTER, LTD
Active
Organization
WOODSTOCK MEDICAL & SURGICAL CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN SEAN GAVIN D.P.M. (OWNER)
18474581800
Entity
Organization
Contact information
Practice address
1666 S EASTWOOD DR, WOODSTOCK, IL 60098-4655
(815) 334-8100
(815) 338-7105
Mailing address
PO BOX 683, WOODSTOCK, IL 60098-0683
(815) 334-8100
(815) 338-7105
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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