Individual
JUAN ROMERO GADDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6500 N CLARK ST, CHICAGO, IL 60626-4097
(773) 388-1600
(773) 388-8664
Mailing address
6500 N CLARK ST, CHICAGO, IL 60626-4097
(733) 388-1600
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
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