| Organization Name: | GAJDA SPORTS MEDICAL CENTER LTD |
| NPI Number: | 1114063989 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN DALE GAJDA (OWNER DOCTOR) |
| Mailing Address: | 400 Lake Cook Road Suite 200c Deerfield |
| State: | IL US |
| Postal Code: | 60015 |
| Phone Number: | 7083522392 |
| Fax Number: | 7083522738 |
| NPI Enumeration Date: | 01/29/2007 |
| NPI Last Update Date: | 01/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 036066049 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |