Individual
GRZEGORZ GAWOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2650 RIDGE AVE, EVANSTON HOSPITAL, EVANSTON, IL 60201-1718
(847) 570-2114
(847) 570-1223
Mailing address
2650 RIDGE AVE, EVANSTON HOSPITAL, EVANSTON, IL 60201-1718
(847) 570-2114
(847) 570-1223
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036124746
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910901
—
NC
Enumeration date
05/01/2007
Last updated
01/06/2017
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