person
Joseph Gawlak, PA
Medical Physician Assistant in Hazel Crest, Illinois
NPI 1457928970

Joseph Gawlak is a Medical Physician Assistant based in Chicago, IL and is specialized in Medical. Joseph Gawlak practices in Hazel Crest, IL and has the professional credentials of PA. The NPI Number for Joseph Gawlak is 1457928970 and holds a License No. 085.009464 (Illinois).

The current practice location address for Joseph Gawlak is 17800 Kedzie Ave, Hazel Crest, IL and can be reached out via phone at 708-799-8000.

Location: 17800 Kedzie Ave, Hazel Crest, IL, 60673-1293
person
Provider Profile Details
NPI Number
1457928970
Provider Name
Joseph Gawlak
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
17800 Kedzie Ave, Hazel Crest, IL, 60673-1293
Phone Number
708-799-8000
Fax Number
Provider Enumeration Date
06/04/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
085-009464 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
17800 Kedzie Ave
City
State
Zip
60429-2029
Phone Number
708-799-8000
Fax Number
person
Provider Business Mailing Address Details
Address
17800 Kedzie Ave
City
State
Zip
60429-2029
Phone Number
708-799-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085.009464 (Illinois)
Definition
Definition to come...
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