Individual
REGINALD I GAYLORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, DEPARTMENT OF EMERGENCY MEDICINE MC 5068, CHICAGO, IL 60637-1447
(773) 702-1000
Mailing address
5841 S MARYLAND AVE, DEPARTMENT OF EMERGENCY MEDICINE MC 5068, CHICAGO, IL 60637-1447
(720) 838-0440
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
AU3890402
IL
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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