CONCHITA G GAVINO MD SC
Psychiatric at Summit St, Hoffman Estates, IL

License number
Illinois 042005671
Category
Psychiatric
Type
Psychiatry
Owner
Name: CONCHITA G GAVINO MD
Title: PRESIDENT
Phone: (847) 695-8721
Address
Address
860 Summit St SUITE 254, Hoffman Estates, IL 60120
National Provider ID: 1134153133
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CONCHITA G. GAVINO, M.D., S.C

Elgin, IL 60120

Registration:
Jul 2, 1984
State ID:
53511309
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Sherwin R Rubinstein,7250 N Cicero Ave STE 200, Lincolnwood, IL 60712 (Physical)

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