Search › Illinois › 122300000X
Gavin Green, DDS
NPI 1790879708 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1801 Glenview Road
Glenview, IL 60025 - Phone
- (847) 724-9040
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois