Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 056012786 | IL |
NPI | 1033756416 |
---|---|
Provider Name | Cherry May Gabuyo |
First Address | Carlinville, IL 62626-9426 |
Second Address | Arlington Heights, IL 60005-3929 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2019 |
Last Update Date | 05/12/2019 |