Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THOMAS GAVIN, CO/LO
Active Sole ProprietorMR. THOMAS GAVIN, CO/LO is a Prosthetic/Orthotic Supplier healthcare provider located in OAK BROOK, Illinois. NPI 1114580107 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · OAK BROOK, IL
Registration Details
- NPI Number
- 1114580107
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 16, 2019 (7.3503452654667 yrs)
- Last Updated
- Apr 16, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
1010 JORIE BLVD STE 24OAK BROOK, IL, 605234450Browse IL providers · Browse ZIP 60523
- Phone
- 6305737777
- Fax
- 6305734424
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.