Southwest Head & Neck Surgical Assoc SC
NPI 1104094804ActiveOrganization· Otolaryngology· Orland Park, IL
Otolaryngology in Orland Park, Illinois, registered in NPPES in February 2008. The authorized official on file is Joseph P. Gavron, MD, Owner.
Overview
| NPI | 1104094804 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 15, 2008 |
| Last updated in NPPES | May 14, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | 036054754 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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