Individual
MEHDAT GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LOYOLA UNIVERSITY MEDICAL CENTER, MCGAW ENT., RM. 47, MAYWOOD, IL 60153
(708) 216-5221
(708) 216-0899
Mailing address
LOYOLA UNIVERSITY MEDICAL CENTER, MCGAW ENT., RM. 47, MAYWOOD, IL 60153
(708) 216-5221
(708) 216-0899
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
036-105453
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036-105453
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K24227
MEDICARE
IL
Enumeration date
11/07/2006
Last updated
05/07/2021
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