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Individual

GERALD MAIDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
30 STRATFORD DR, BLOOMINGDALE, IL 60108-2201
(630) 893-2210
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 469-9200

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036050104
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036050104
IL
Enumeration date
02/28/2006
Last updated
01/25/2011
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