Mr. Thomas Gavin, CO/LO
Mr. Thomas Gavin, CO/LO is a Prosthetic/Orthotic Supplier in Oak Brook, Illinois. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
1010 Jorie Blvd Ste 24Oak Brook, IL 60523-4450
Phone: (630) 573-7777
Fax: (630) 573-4424
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Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X |
|---|
Record details
| NPI number | 1114580107 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CO/LO |
| Sole proprietor | Yes |
| NPI enumerated | April 16, 2019 |
| Last updated in NPPES | April 16, 2019 |
| Mailing address | 1010 Jorie Blvd Ste 24, Oak Brook, IL 60523-4450 |
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