Schaffel, Gary Edward
Schaffel, Gary Edward is an sole proprietor health care provider with primary practice located at 900 N Westmoreland Rd Suite 104, Lake Forest IL 60045-1674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Schaffel, Gary Edward can be contacted via phone (847) 234-8100.Contact Information
Primary practice address
900 N Westmoreland Rd Suite 104
Lake Forest IL 60045-1674
Phone: (847) 234-8100
Fax: (847) 234-8199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036093564 | Illinois |
Profile Details
| NPI number | 1336123884 |
|---|---|
| LBN Legal business name | Schaffel, Gary Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2005 |
| Last updated | Feb 23rd, 2010 - about 16 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 | 1336123884 | NPPES |
| Illinois | MEDICAID | 036093564 | |
| Illinois | Other | 205568397 |
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