Maida, Gerald
Maida, Gerald is an individual health care provider with primary practice located at 30 Stratford Dr , Bloomingdale IL 60108-2201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Maida, Gerald can be contacted via phone (630) 893-2210.Contact Information
Primary practice address
30 Stratford Dr
Bloomingdale IL 60108-2201
Phone: (630) 893-2210
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036050104 | Illinois |
Profile Details
| NPI number | 1891762738 |
|---|---|
| LBN Legal business name | Maida, Gerald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Jan 25th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891762738 | NPPES |
| Illinois | MEDICAID | 036050104 |
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