Individual
DR. JEFFREY D. GIRARDOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 S WASHINGTON ST, NAPERVILLE, IL 60540-7430
(630) 527-3426
Mailing address
836 WOODLAWN AVE, NAPERVILLE, IL 60540-6833
(630) 369-7443
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-086322
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086322
—
IL
Enumeration date
12/22/2005
Last updated
04/30/2012
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