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Dr. Nicole Michele Gastala, MD
Family Medicine Physician in Chicago, Illinois
NPI 1912260571

Nicole Michele Gastala is a Family Medicine Physician based in Chicago, IL. Nicole Michele Gastala practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Nicole Michele Gastala is 1912260571 and holds a License No. 41628 (Illinois).

The current practice location address for Nicole Michele Gastala is 1220 S Wood St, Chicago, IL and can be reached out via phone at 708-642-6875.

Location: 1220 S Wood St, Chicago, IL, 60605-3157
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Provider Profile Details
NPI Number
1912260571
Provider Name
Nicole Michele Gastala
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1220 S Wood St, Chicago, IL, 60605-3157
Phone Number
708-642-6875
Fax Number
Provider Enumeration Date
06/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1220 S Wood St
City
State
Zip
60608
Phone Number
708-642-6875
Fax Number
person
Provider Business Mailing Address Details
Address
1220 S Wood St
City
State
Zip
60608
Phone Number
708-642-6875
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
R 9515 (Iowa)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
41628 (Iowa)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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