Gawne, Stephen R

Gawne, Stephen R is an individual health care provider with primary practice located at 885 Roosevelt Rd Suite 201, Glen Ellyn IL 60137-6141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gawne, Stephen R can be contacted via phone (630) 384-6330.

Contact Information

Primary practice address
885 Roosevelt Rd Suite 201 Glen Ellyn IL 60137-6141
Phone: (630) 384-6330
Fax: (630) 384-6339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36071083 Illinois

Profile Details

NPI number 1497729537
LBN Legal business name Gawne, Stephen R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Nov 6th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497729537 NPPES
Illinois MEDICAID 036071083
Illinois Other 487450005
Illinois Other F400163079
Illinois Other 920540

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