Individual provider · Type 1 NPI
Thomas Gavin, CO/LO
Prosthetic/Orthotic Supplier · Oak Brook, IL
Practice location
1010 Jorie Blvd Ste 24
Oak Brook, IL 60523-4450
Fax (630) 573-4424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
2 other providers at this address
About NPI 1114580107
Thomas Gavin, CO/LO's National Provider Identifier is 1114580107, issued on Apr 16, 2019. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Oak Brook, IL. The record was last updated on Apr 16, 2019.