Southwest Head & Neck Surgical Assoc Sc

NPI #1104094804 in Orland Park, Illinois

Provider Information

NPI Number: 1104094804
Entity Type: Organization
Organization Name: Southwest Head & Neck Surgical Assoc Sc
Primary Specialty: Otolaryngology
Enumeration Date: Feb 15, 2008
Last Updated: May 14, 2012

Practice Location

Address: 1000 RAVINIA PL
City: Orland Park
State: Illinois
ZIP Code: 60462-3764
Phone: (708) 460-6663

Authorized Official

Name: DR. JOSEPH P GAVRON, MD
Title: OWNER
Phone: (708) 460-6663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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