Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 019.019230 | IL |
Y | 213EG0000X | General Practice | 019.019230 | IL |
NPI | 1003168758 |
---|---|
Provider Name | Dr. Anne Francis Gaffney |
First Address | Orland Park, IL 60467-4543 |
Second Address | Orland Park, IL 60467-4543 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2012 |
Last Update Date | 04/10/2012 |