NPI 1114063989
Gajda Sports Medical Center LTD
Practice location
- Address
- 400 Lake Cook Road Suite 200c, Deerfield, IL 60015
- Phone
- (708) 352-2392
- Fax
- (708) 352-2738
- Mailing address
- 521 Malden Ave, La Grange Park, IL 60526-5514
Authorised official
- Name
- Karen Dale Gajda
- Title
- Owner Doctor
- Phone
- (708) 352-2392
Registered specialties
Neuromusculoskeletal Medicine & OMM Physician
Primary
Registry record
- NPI
- 1114063989
- Entity type
- Organization
- NPI issued
- 29 Jan 2007
- Record last updated
- 22 Jan 2013
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.