Gaines, Larry Tyron

Gaines, Larry Tyron is an sole proprietor health care provider with primary practice located at 5841 S Maryland Ave Mc 3077 A304, Chicago IL 60637-1447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Gaines, Larry Tyron can be contacted via phone (773) 702-0746.

Contact Information

Primary practice address
5841 S Maryland Ave Mc 3077 A304 Chicago IL 60637-1447
Phone: (773) 702-0746
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 036135642 Illinois

Profile Details

NPI number 1427287903
LBN Legal business name Gaines, Larry Tyron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2009
Last updated Mar 15th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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