Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gavin Brent Longway, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1598140774

Gavin Brent Longway, CPNP-PC is a Pediatric Nurse Practitioner in Chicago, Illinois. Licensed in Illinois and Texas. Registered with an NPI since 2015.

Licensed in
IL, TX
In the registry since
2015
Specialties on file
2

Practice location Address checks out

225 E Chicago Ave
Chicago, IL 60611-2991
Phone: (312) 227-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Pediatric Nurse Practitioner (primary) Taxonomy 363LP0222X · Licence 209.026746 (IL)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence AP128545 (TX)

Record details

NPI number1598140774
Entity typeIndividual (Type 1)
GenderMale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedJuly 29, 2015
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025

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