Individual
EDDIE GAYTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1351 STAR AVE, AURORA, IL 60505-1414
(630) 888-9201
Mailing address
1351 STAR AVE, AURORA, IL 60505-1414
(630) 888-9201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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