# JOSEPH GAWLAK

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457928970
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 10004646A | IN | — |
| 363A00000X | Physician Assistant | 10004646A | IN | Yes |
| 363AM0700X | Medical Physician Assistant | 085.009464 | IL | — |

## Other

- **Enumeration date:** 06/04/2021
- **Last updated:** 05/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 085-009464 | LICENSE | IL |