Gavin, Kevin Sean
Gavin, Kevin Sean is an individual health care provider with primary practice located at 1219 S Main St , Algonquin IL 60102-2741. He recently has 6 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Public Medicine, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Sports Medicine. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Gavin, Kevin Sean can be contacted via phone (847) 458-1800.Contact Information
Primary practice address
1219 S Main St
Algonquin IL 60102-2741
Phone: (847) 458-1800
Fax: (847) 458-8447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 016004743 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 016004743 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Public Medicine | 213EP0504X | 016004743 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 016004743 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | 016004743 | Illinois |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | 016004743 | Illinois |
Profile Details
| NPI number | 1861424624 |
|---|---|
| LBN Legal business name | Gavin, Kevin Sean |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | May 4th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861424624 | NPPES |
| Illinois | Other | 01606879 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 480023961 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | 5090108 | BLUE CROSS BLUE SHIELD |
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