Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 036116644 | IL |
NPI | 1124289137 |
---|---|
Provider Name | Dr. Michael Joseph Gaffud |
First Address | Chicago, IL 60674-0001 |
Second Address | Naperville, IL 60563-8611 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2008 |
Last Update Date | 11/02/2021 |