| 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 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |