NPI | 1609429836 |
---|---|
Doing Business As | GAVIN SCOLIOSIS AND SPINE CENTER, LLC |
Entity Type | Organization |
Authorized Contact | THOMAS GAVIN President 630-573-7777 |
Organization Subpart ? | No |
Primary Taxonomy | 222Z00000X Orthotist |
Enumeration Date | 2019-07-17 |
Last Update Date | 2019-07-17 |