Gavin Scoliosis and Spine Center, LLC

NPI #1609429836 in Oak Brook, Illinois

Provider Information

NPI Number: 1609429836
Entity Type: Organization
Organization Name: Gavin Scoliosis and Spine Center, LLC
Primary Specialty: Orthotist
Enumeration Date: Jul 17, 2019
Last Updated: Jul 17, 2019

Practice Location

Address: 1010 JORIE BLVD STE 24
City: Oak Brook
State: Illinois
ZIP Code: 60523-4450
Phone: (630) 573-4424

Authorized Official

Name: THOMAS GAVIN, CO, LO
Title: PRESIDENT
Phone: (630) 573-7777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary

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