Romero Gaddi, Juan

Romero Gaddi, Juan is an individual health care provider with primary practice located at 6500 N Clark St , Chicago IL 60626-4097. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Romero Gaddi, Juan can be contacted via phone (773) 388-1600.

Contact Information

Primary practice address
6500 N Clark St Chicago IL 60626-4097
Phone: (773) 388-1600
Fax: (773) 388-8664
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 125067141 Illinois
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036.145871 Illinois

Profile Details

NPI number 1750761359
LBN Legal business name Romero Gaddi, Juan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2015
Last updated Jul 24th, 2021 - about 4 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 1750761359 NPPES
Illinois MEDICAID 036.145871

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