Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 036121822 | IL |
N | 2084N0402X | Child Neurologist | 20773 | NV |
NPI | 1194974600 |
---|---|
Provider Name | Dr. Gaurav Yadava |
First Address | Elmhurst, IL 60126-5630 |
Second Address | Elmhurst, IL 60126-5630 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2008 |
Last Update Date | 10/02/2021 |