Whalio Doctors

NPI 1114063989

Gajda Sports Medical Center LTD

Organisation Neuromusculoskeletal Medicine & OMM Physician Deerfield, IL

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
Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence 036066049 (IL)

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.