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Individual

DR. GARY EDWARD SCHAFFEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
990 S WAUKEGAN RD STE 200, LAKE FOREST, IL 60045-2654
(847) 234-8100
(847) 234-8199
Mailing address
990 S WAUKEGAN RD STE 200, LAKE FOREST, IL 60045-2654
(847) 234-8100
(847) 234-8199

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036093564
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
205568397
TAX IDENTIFICATION
Enumeration date
11/29/2005
Last updated
09/05/2024
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