Individual
JOAN GARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25 N. WINFIELD RD, SUITE 501, WINFIELD, IL 60190
(630) 260-0600
(630) 260-1370
Mailing address
25 N. WINFIELD RD, SUITE 501, WINFIELD, IL 60190
(630) 260-0600
(630) 260-1370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.123916
IL
208M00000X
Hospitalist Physician
Primary
036123916
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036123916
—
IL
01
—
920540
MEDICARE PTAN (GROUP)
IL
01
—
F400122903
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
09/04/2007
Last updated
01/18/2018
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