| Doctor Name: | JEFFREY SCOTT GAICH |
| NPI Number: | 1093822942 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | O.T.R./L. |
| License Number: | 056.006539 |
| Business Practice Address: | 1816 170th St Hazel Crest, IL - 604291451 |
| Business Phone Number: | 7083351415 |
| Business Fax Number: | 7083354792 |
| Mailing Address: | 1816 170th St, HAZEL CREST |
| State: | IL |
| Postal Code: | 604291451 |
| Phone Number: | 7083351415 |
| Fax Number: | 7083354792 |
| NPI Enumeration Date: | 08/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | 056.006539 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |