NPI 1548254691

Anita T Avila, MD

Practitioner Pediatric Adolescent Medicine Physician Grayslake, IL

Practice location

Address: 1170 E Belvidere Rd #106, Grayslake, IL 60030-2061
Phone: (847) 548-7337
Fax: (847) 548-9909

Registered specialties

Pediatric Adolescent Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080A0000X

Other Pediatrics providers in Illinois →

Registry record

NPI: 1548254691
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Sep 2005
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.