NPI 1104962984 KAREN DALE GAJDA DO LA GRANGE PARK IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Karen Dale Gajda - NPI: 1104962984

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: KAREN DALE GAJDA
NPI Number: 1104962984
Entity Type Code: Individual (1)
Gender: F
Credentials: DO
License Number:
Business Practice Address: 400 Lake Cook Road Suite 200c
Deerfield, IL - 60015
Business Phone Number: 7083522392
Business Fax Number:
Mailing Address: 521 North Malden Avenue,
LA GRANGE PARK
State: IL
Postal Code: 60526
Phone Number: 7083522392
Fax Number: 7083522738
NPI Enumeration Date: 01/29/2007
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 204D00000X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State: IL
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Neuromusculoskeletal Medicine & OMM
Taxonomy Specialization:
Taxonomy Definition:


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