Ryan William Gavin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.012841 Issued in IL

Practice address

2043 Tower Dr
Glenview, IL 60026-7803

Phone

(847) 730-3276

NPI assigned

Jul 21, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Physicians, S.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Crest Hill, IL
  • NPI 1124075288
  Medicare reassignment NPD
• Premise Health of Illinois Medical PC

  dba Mount Vernon Health Center Mt Vernon

  • Primary Care Clinic/Center
  • Mount Vernon, IL
  • NPI 1427366921
  Medicare reassignment NPD
• Premise Health of Illinois Medical PC

  dba MCL Health Center

  • Multi-Specialty Clinic/Center
  • Elgin, IL
  • NPI 1235811860
  NPD
• Premise Health of Illinois Medical PC

  dba MCL Health Center - Utica

  • Multi-Specialty Clinic/Center
  • Utica, IL
  • NPI 1295518868
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1427433374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 TOWER DR",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600267803",
            "telephone_number": "847-730-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 TOWER DR",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600267803",
            "telephone_number": "847-730-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "RYAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elsa Grace Garza, APN-CNP
• Courtney Jane Gasswint, OTR
• Kellie Gates
• Robert Gathercoal
• Elizabeth Gaughan
• Lashanda Gayle, OTR/L
• Hailey Brooke Gaylor
• Catherine Margaret Gaze, PH.D.
• Brittany Christine Gehrer, CCC-SLP/L
• Patricia Elena Gejerts, MS, ATC

• Chiropractor in Glenview, IL
• Providers in Glenview, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.