Lavell, Gary L
Lavell, Gary L is an sole proprietor health care provider with primary practice located at 1750 Grandstand Pl , Elgin IL 60123-4900. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Lavell, Gary L can be contacted via phone (847) 931-8113.Contact Information
Primary practice address
1750 Grandstand Pl
Elgin IL 60123-4900
Phone: (847) 931-8113
Fax: (847) 931-8113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | Illinois |
Profile Details
| NPI number | 1962626408 |
|---|---|
| LBN Legal business name | Lavell, Gary L |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1962626408 | NPPES |
| Illinois | Other | 04582084 | BLUE SHIELD PROVIDER NO. |
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