Kevin Sean Gavin is a Radiology in Algonquin, Illinois. Kevin Sean Gavin practices all healthcare services and medical treatments related to Radiology. The NPI Number for Kevin Sean Gavin is 1861424624. The last update date is 2020-05-04.
Kevin Sean Gavin's current location address is 1219 S Main St, Algonquin, Illinois. You can contact this provider via phone number 8474581800 and fax number 8474588447. The mailing address for Kevin Sean Gavin is 1219 S Main St, Algonquin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Sean Gavin |
|---|---|
| Address | 1219 S Main St, Algonquin, Illinois |
| Phone Number | 8474581800 |
| Fax Number | 8474588447 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1861424624 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2020-05-04 |
Provider Mailing Address Detail
| Address | 1219 S Main St |
|---|---|
| City | Algonquin |
| State | Illinois (IL) |
| Post Code | 601022741 |
| Phone Number | 8474581800 |
| Fax Number | 8474588447 |
Provider's Primary Taxonomy Detail
| Speciality | Radiology |
|---|---|
| Taxonomy | 213Er0200X |
| Licence No | 16004743 |
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Definition: A doctor of podiatric medicine who specializes in medical imaging of the lower extremities. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1606879 | IL | BLUE CROSS BLUE SHIELD | |
| 480023961 | IL | RAILROAD MEDICARE | |
| 5090108 | IL | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kevin Sean Gavin by the Centers for Medicare & Medicaid Services?
The Kevin Sean Gavin has been assigned the NPI (National Provider Identifier) 1861424624 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Kevin Sean Gavin's facilities are situated?
The facilities of Kevin Sean Gavin are physically located at the following address: 1219 S Main St, Algonquin, IL, 601022741.
What is Kevin Sean Gavin's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kevin Sean Gavin is Radiology, and the taxonomy classification code that categorizes this area of expertise is 213Er0200X.
When did Kevin Sean Gavin receive its 1861424624 assignment?
The Kevin Sean Gavin was assigned its 1861424624 on 2006-07-06, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Kevin Sean Gavin most recently updated or revised?
The details related to Kevin Sean Gavin, including its address, specialty, and other relevant information, were last updated or revised on 2020-05-04.