Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 036093537 | IL |
NPI | 1669403556 |
---|---|
Provider Name | Dr. Gabriel Aljadeff |
First Address | Des Plaines, IL 60016-4539 |
Second Address | Park Ridge, IL 60068-1110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 15/11/2012 |