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Contact Information

GAJDA SPORTS MEDICAL CENTER LTD
400 LAKE COOK ROAD SUITE 200C
DEERFIELD, IL60015
 Phone: 708-352-2392
 Fax: 708-352-2738
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for GAJDA SPORTS MEDICAL CENTER LTD

NPI Number 1114063989
LBN Legal business name GAJDA SPORTS MEDICAL CENTER LTD
Authorized official KAREN GAJDA - (OWNER DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/29/2007
Last updated 01/22/2013 - About 13 years ago
Identifiers
IL License # 036066049
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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