Gamboa, David G

Gamboa, David G is an individual health care provider with primary practice located at 5841 S Maryland Ave , Chicago IL 60637-1443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Gamboa, David G can be contacted via phone (888) 824-0200.

Contact Information

Primary practice address
5841 S Maryland Ave Chicago IL 60637-1443
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 036120427 Illinois

Profile Details

NPI number 1942414875
LBN Legal business name Gamboa, David G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Oct 24th, 2022 - about 2 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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