Gregory T. Prevatt, O,T,S.C.
NPI #1528050218 in Carol Stream, Illinois
Provider Information
- NPI Number
- 1528050218
- Entity Type
- Individual
- Name
- Gregory T. Prevatt, O,T,S.C.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist, Other
- Credential
- O,T,S.C.
- Enumeration Date
- Aug 18, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 327 GUNDERSEN DR
- Address 2
- SUITE A
- City
- Carol Stream
- State
- Illinois
- ZIP Code
- 60188-2402
- Phone
- (630) 665-9155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other |
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