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Contact Information

KEVIN S GAVIN, DPM
1219 S MAIN ST
ALGONQUIN, IL60102-2741
 Phone: 847-458-1800
 Fax: 847-458-8447
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Public Health

213EP0504X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
 

Sports Medicine

213ES0000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KEVIN S GAVIN · (Male)

NPI Number 1861424624
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/06/2006
Last updated 05/04/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 016004743
  • IL Other 5090108 AETNA
  • IL Other 01606879 BLUE CROSS BLUE SHIELD
  • IL Other 480023961 RAILROAD MEDICARE
Hospital affiliation(s)
  • CENTEGRA HEALTH SYSTEM - MC HENRY HOSPITAL - (Acute Care)
    4201 MEDICAL CENTER DRIVE
    MCHENRY, IL 60050
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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