Individual
JUAN ROMERO GADDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036.145871
IL
2084P0800X
Psychiatry Physician
125067141
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036.145871
—
IL
Enumeration date
06/09/2015
Last updated
07/24/2021
Update your record
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