Individual
CHRISTIAN GAUBATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MPT
Contact information
Practice address
4401 ROOSEVELT RD, HILLSIDE, IL 60162-2031
(708) 671-0771
(708) 671-0767
Mailing address
12400 S HARLEM AVE, PALOS HEIGHTS, IL 60463-1440
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01622333
BLUE CROSS BLUE SHIELD ID
—
01
—
7454077
AETNA
—
Enumeration date
09/05/2007
Last updated
09/05/2007
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