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Gregory T. Prevatt, O,T,SC
Other Specialist/Technologist in Carol Stream, Illinois
NPI 1528050218

Gregory T. Prevatt is a Other Specialist/Technologist based in Carol Stream, IL. Gregory T. Prevatt practices in Carol Stream, IL and has the professional credentials of O,T,SC. The NPI Number for Gregory T. Prevatt is 1528050218 and holds a License No. (Illinois).

The current practice location address for Gregory T. Prevatt is 327 Gundersen Dr, Carol Stream, IL and can be reached out via phone at 630-665-9155 and via fax at 630-665-5557.

Location: 327 Gundersen Dr, Carol Stream, IL, 60188-2402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528050218
Provider Name
Gregory T. Prevatt
Credential
O,T,SC
Provider Entity Type
Individual
Gender
Male
Address
327 Gundersen Dr, Carol Stream, IL, 60188-2402
Phone Number
630-665-9155
Fax Number
630-665-5557
Provider Enumeration Date
08/18/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
327 Gundersen Dr
City
Carol Stream
State
Illinois
Zip
60188-2402
Phone Number
630-665-9155
Fax Number
630-665-5557
person
Provider Business Mailing Address Details
Address
327 Gundersen Dr
City
Carol Stream
State
Illinois
Zip
60188-2402
Phone Number
630-665-9155
Fax Number
630-665-5557
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
()
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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