MR. Thomas Gavin, CO/LO

NPI #1114580107 in Oak Brook, Illinois

Provider Information

NPI Number
1114580107
Entity Type
Individual
Name
MR. Thomas Gavin, CO/LO
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Prosthetic/Orthotic Supplier
Credential
CO/LO
Enumeration Date
Apr 16, 2019
Last Updated
Apr 16, 2019

Practice Location

Address
1010 JORIE BLVD STE 24
ZIP Code
60523-4450
Phone
(630) 573-7777

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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