Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 036-067844 | IL |
NPI | 1124179015 |
---|---|
Provider Name | Dr. Richard J Gainey |
First Address | Hinsdale, IL 60521-4510 |
Second Address | Orland Park, IL 60462-4600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D15398 | (02) | IL |