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Individual

DR. MATTHEW JOHN GAYED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2650 RIDGE AVE., DEPT. OF RADIOLOGY, EVANSTON, IL 60201-1057
(847) 570-2000
Mailing address
2650 RIDGE AVE., DEPT. OF RADIOLOGY, EVANSTON, IL 60201-1057
(847) 570-2000

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036160674
IL
2085R0202X
Diagnostic Radiology Physician
125.071686
IL
390200000X
Student in an Organized Health Care Education/Training Program
11019358A
IN

Other

Enumeration date
06/06/2017
Last updated
07/25/2022
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