Doctor Name: | DR. JOHN J GNAP |
NPI Number: | 1164572319 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 036040753 |
Business Practice Address: | 10436 Southwest Highway Lower Level Suite 4 Chicago Ridge, IL - 60415 |
Business Phone Number: | 7084242266 |
Business Fax Number: | 7084249763 |
Mailing Address: | 10436 Southwest Highway, Lower Level Suite 4 CHICAGO RIDGE |
State: | IL |
Postal Code: | 60415 |
Phone Number: | 7084242266 |
Fax Number: | 7084249763 |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 03/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 036040753 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |